Nurse Practitioner Salary Guide

nurse practitioner smiles at youthful patient and mom during checkup
nurse practiotioner with child patient

It’s no secret that nurse practitioners (NPs) often earn high incomes. In fact, according to the U.S. Bureau of Labor Statistics (BLS), the median NP salary per year is $120,680, with job growth continuing to outpace that of many other professions.

Nurse Practitioners

National data

Median Salary: $120,680

Projected job growth: 52.2%

10th Percentile: $79,470

25th Percentile: $99,540

75th Percentile: $129,680

90th Percentile: $163,350

Projected job growth: 52.2%

State data

State Median Salary Bottom 10% Top 10%
Alaska $123,140 $48,670 $164,840
Alabama $99,750 $76,290 $128,460
Arkansas $99,910 $77,770 $130,770
Arizona $121,070 $95,850 $162,820
California $149,910 $103,910 N/A
Colorado $102,370 $78,230 $131,970
Connecticut $125,360 $79,470 $163,710
District of Columbia $121,470 $96,420 $164,900
Delaware $121,470 $90,280 $152,130
Florida $101,110 $61,990 $130,630
Georgia $101,690 $77,660 $141,880
Hawaii $131,000 $80,130 $167,750
Iowa $121,470 $94,590 $163,080
Idaho $102,060 $47,490 $152,710
Illinois $122,960 $97,950 $141,200
Indiana $104,020 $96,040 $131,000
Kansas $100,590 $78,480 $128,550
Kentucky $100,260 $78,380 $130,630
Louisiana $103,610 $77,940 $152,960
Massachusetts $128,160 $98,860 $167,980
Maryland $104,550 $95,710 $141,140
Maine $119,550 $96,040 $135,150
Michigan $102,060 $94,430 $130,630
Minnesota $127,690 $92,710 $163,360
Missouri $101,180 $61,820 $129,510
Mississippi $101,840 $77,940 $154,130
Montana $122,100 $96,040 $130,630
North Carolina $102,370 $95,460 $133,790
North Dakota $103,550 $95,970 $129,970
Nebraska $103,340 $93,020 $133,840
New Hampshire $121,070 $96,040 $153,070
New Jersey $129,240 $100,660 $163,420
New Mexico $121,070 $78,660 $159,790
Nevada $127,620 $95,530 $164,070
New York $128,220 $96,420 $167,750
Ohio $103,310 $95,280 $135,180
Oklahoma $109,660 $80,280 $152,130
Oregon $127,690 $96,040 $165,520
Pennsylvania $106,700 $84,940 $165,900
Rhode Island $125,540 $96,550 $167,750
South Carolina $100,020 $76,490 $130,200
South Dakota $102,060 $80,650 $129,270
Tennessee $99,630 $48,060 $129,510
Texas $121,010 $81,160 $154,080
Utah $105,220 $60,280 $163,350
Virginia $102,860 $78,660 $152,130
Vermont $101,790 $78,690 $152,920
Washington $128,980 $98,500 $164,900
Wisconsin $121,310 $97,090 $131,100
West Virginia $100,020 $77,720 $129,480
Wyoming $102,370 $93,720 $148,870

Source: U.S. Bureau of Labor Statistics (BLS) 2021 median salary; projected job growth through 2030. Actual salaries vary depending on location, level of education, years of experience, work environment, and other factors. Salaries may differ even more for those who are self-employed or work part time.

Nurse practitioners fill an important need in the healthcare system and serve as both primary and specialty care providers for a number of patient populations. Along with nurse midwives, clinical nurse specialists, and nurse anesthetists, NPs are a type of advanced practice registered nurse (APRN) that hold a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP) from an accredited school.

While states have different requirements, most NPs begin their careers as a registered nurse (RN) and then go on to earn an advanced degree and take a national certification exam.

Several factors can influence nurse practitioner pay, including the degree you earn. While you can work as an NP with either a master’s or a doctoral degree, there is a growing emphasis on DNP. In fact, the National Organization of Nurse Practitioner Faculties (NONPF) has set a goal of DNPs as the standard entry-level degree for NPs by 2025.

However, your degree isn’t the only thing that influences your salary. Your background, specialty, and location can all play a big role.

“As far as marketability, both RN and NP licenses have a very high degree of marketability and flexibility,” says Sara Hunt, DNP, MSN, FNP-C, PHN, a health policy instructor who is also a family nurse practitioner. “As far as competitive wages, that depends on your personal assets, specialty, and your market. In general, in the U.S., RNs and NPs are some of the highest-paying jobs.”

Average Starting Salary for Nurse Practitioners

Even nurse practitioners with little experience can earn a solid income. According to the American Association of Nurse Practitioners (AANP) Nurse Practitioner Compensation Survey released in 2019, NPs with five or fewer years of experience still earned a base salary of $104,000.

Nurse Practitioner Salaries by Role

A nurse practitioner’s wage can also depend on their area of certification. The AANP Compensation Survey lists the annual base salary for a number of areas:

  • Psychiatric/mental health (adult) nurse practitioner: $125,000
  • Neonatal nurse practitioner: $122,500
  • Acute care nurse practitioner: $120,000
  • Psychiatric/mental health (family) nurse practitioner: $119,000
  • Oncology nurse practitioner: $119,000
  • Gerontology nurse practitioner: $118,000
  • Hospice and palliative care nurse practitioner: $116,000
  • Adult nurse practitioner: $115,000
  • Adult (gerontology and acute care) nurse practitioner: $112,000
  • Diabetes management (advanced) nurse practitioner: $110,000
  • Pediatrics nurse practitioner: $108,500
  • Family nurse practitioner: $107,000
  • Adult (gerontology and primary care) nurse practitioner: $107,000
  • Women’s health nurse practitioner: $105,000

As you can see from the survey data, nurse practitioners generally earn the most in specialized fields like psychiatry and neonatal care, while nurse practitioners in primary care roles like family health or women’s health earn the least. However, keep in mind that these salaries are based on survey responses. Your salary can vary within your specialty depending on your experience, education, location, and other factors.

How Do Nurse Practitioner Salaries Compare to Similar Jobs?

Here’s a quick comparison of how the median salary for nurse practitioners—$120,680—measures up against the median salaries for other related nursing occupations, as listed by the BLS:

Career Median Annual Salary
Nurse Practitioners $120,680
Registered Nurses $77,600
Nurse Midwives $112,830
Physician Assistants $121,530
Nurse Anesthetists $195,610

What Kind of Salary Growth Can I Expect?

As you gain more experience as an NP, your salary could increase as well. According to the AANP survey, the nurse practitioner yearly salary tends to rise along with experience. While nurse practitioner respondents with between zero and five years of experience reported earning a median base salary of $104,000, those with six to 10 years of experience earned $110,000.

Salary levels stayed steady for NPs in their second decade of experience. Salaries for NPs with between 11 and 20 years of experience averaged $118,000, while the most experienced NPs—those with more than 20 years—earned even more, reporting an average of $121,000.

Your Salary Can Depend on Where You Live

You can find pockets of higher-than-average pay as an NP throughout the country. While the highest-paying RN roles are often found in highly populated states like California or New York, high nurse practitioner salaries can also be found in states like Minnesota, Georgia, and Kansas. Take a look at some of the top paying metro areas.

Metro Area Median Annual Salary
Napa, CA $200,450
Vallejo-Fairfield, CA $176,500
San Francisco-Oakland-Hayward, CA $166,730
Yuba City, CA $162,800
El Centro, CA $162,440
San Luis Obispo-Paso Robles-Arroyo Grande, CA $160,440
Sacramento--Roseville--Arden-Arcade, CA $157,890
Fresno, CA $152,380
Bakersfield, CA $150,300
Madera, CA $143,890

California

$151,830
Average Pay for NPs
  • Top Paying Metro Areas:
  • Vallejo-Fairfield: $180,380
  • San Francisco-Oakland-Hayward: $177,160
  • San Jose-Sunnyvale-Santa Clara: $197,870

Washington State

$130,840
Average Pay for NPs
  • Top Paying Metro Areas:
  • Seattle-Bellevue: $137,830
  • Mount Vernon-Anacortes: $125,840

New Jersey

$137,010
Average Pay for NPs
  • Top Paying Metro Areas:
  • New York-Newark-Jersey City: $141,010

Minnesota

$127,010
Average Pay for NPs
  • Top Paying Metro Areas:
  • Mankato: $134,850

Highest paying non-metro areas

North Valley-Northern Mountains Region of California nonmetropolitan area

$136,510

North Coast Region of California nonmetropolitan area

$136,150

Southeast Minnesota nonmetropolitan area

$129,340

Middle Georgia nonmetropolitan area

$129,210

Connecticut nonmetropolitan area

$128,980

How Competitive is the Job Market for NPs?

male nurse practitioner uses electronic notepad at desk

Although there’s a nursing shortage and nurse practitioners are in high demand, you may still need to compete with other qualified candidates to land the best job offers—especially if you’re in a geographical area with a higher number of NPs. Depending on the organization, employers might prefer to hire candidates who already have a certain level of experience or specialize in a particular area or patient population. Having a higher degree can make an impact when you’re shooting for certain roles, too.

Other ways to stand out can include joining a professional nursing organization, where you can meet other nurses and find potential mentors, or tapping into your school’s alumni association. You can use your alumni association to identify promising opportunities within your school’s professional network. It can also be helpful to use LinkedIn to stay connected with other professionals in your field.

What Kind of Institutions Hire Nurse Practitioners?

While physicians’ offices are by far the largest employer of nurse practitioners, NPs are needed in a variety of healthcare settings, such as hospitals, nursing homes, residential treatment facilities, home health organizations, urgent care centers, retail clinics, Veterans Affairs facilities, and more.

The nurse practitioner pay scale also can vary by type of employer. The BLS reports the following annual mean wages for NPs in a range of workplaces:

  • Outpatient care centers: $129,190
  • General medical and surgical hospitals: $122.960
  • Offices of physicians: $114,870
  • Offices of other health practitioners: $108,890
  • Home health care services: $133,170

Nurse Practitioner Job Growth Projections

The nurse practitioner job outlook appears exceptionally bright. The BLS projects NP roles will increase 52% by 2030. That’s pretty staggering when you consider that the projected increase for all occupations is only 8%. It’s even more impressive compared to other healthcare roles like RNs, who have a projected growth of 9% by 2030.

What’s behind the growth? The need for all kinds of nurses is expected to jump as the aging baby boomer population will require more healthcare services over time.

“Many people now survive conditions like stroke, heart attack, and cancer, but it may leave them with more medical needs to keep them afloat or leave them with a temporary or permanent disability,” explains Hunt. “This all equals greater needs for (more) healthcare providers.”

NPs are especially needed in team-based care, Hunt says, where they can help provide preventive care and perform many of the same services as physicians.

Career Paths: Advancing Your Nurse Practitioner Career

While nurse practitioners must earn at least a master’s degree to practice, there are still more learning opportunities available that could lead to possible raises or promotions throughout your career.

NPs are often required to complete continuing education courses every few years to maintain their state licensure or renew their specialty certifications. By taking continuing education courses and staying up to date on the latest practices, you can gain new knowledge in your field and make yourself more desirable in the field.

If you’re worried that your busy schedule won’t allow time to take courses, don’t worry. Many continuing education classes for nurses are offered online and sometimes only take a few hours to complete. You might also be able to earn continuing education credits at workshops, conferences, and seminars.

A word of caution: Before enrolling in an online continuing education class, check if it’s approved by the American Nurses Credentialing Center (ANCC), an accrediting body that’s recognized by all state boards of nursing.

If you want to go beyond continuing education courses, earning your DNP can help boost your career (and since the industry is moving towards making the DNP the entry-level degree for NPs by 2025, it would be wise to consider looking into it). Earning your DNP can help you apply for higher- level roles and stand out among other candidates. You might be able to find DNP programs online, at local universities, or as a hybrid.

Do NPs with a DNP Make More?

It depends. Since you can work as an NP with an MSN or a DNP, the starting paying is often the same. However, there might be opportunities available to you as a DNP that MSN-educated NPs don’t have. Some markets are more competitive than others and some roles, such as executive and faculty positions, are starting to require the DNP. For example, if you want to be a chief nursing officer (CNO), odds are the hospital will require a DNP, or a DNP applicant will go to the top of the applicant stack, according to Hunt.

“If you want to teach nursing, then the DNP or PhD is often required and always preferred,” explains Hunt. “Management positions and executive positions pay more, so the DNP can indirectly increase your wages that way. You can also negotiate a higher wage by proving the skills you learned in your DNP program are valuable to the company you are working for.”


Written and reported by:

Stephanie Behring

Contributing Writer

With professional insight from:

sara hunt

Sara Hunt, DNP, MSN, FNP-C, PHN

Family Nurse Practitioner and Health Policy Instructor

Sean DeGarmo, PhD, RN, ENP-BC, FNP-BC, ACNS-BC

Director of APRN Initiatives for the American Nurses Association’s (ANA) American Nurses Credentialing Center (ANCC)