How Much Do Nurse Practitioners Make? A Comprehensive Guide (2022)

Formally trained at the master’s degree level or higher, the American Association of Nurse Practitioners (AANP) reports that nurse practitioners provide care focused on families, adults, geriatric populations, women, children, mental health, and care for the dying. Ninety-six percent of all NPs can prescribe medication and are doing a solid job, boasting a relatively low rate of dissatisfaction among patients.

A looming primary care provider shortage and increases in demand for healthcare services are two reasons why nurse practitioners are in high demand. The Bureau for Labor Statistics (BLS May 2021) reported that the demand for NPs will swell 52 percent nationally between 2020 and 2030—more than six times the rate of predicted growth for all occupations (8 percent). This will increase the total number of NP jobs in the US from 220,300 to 335,200, a numeric growth of a massive 114,900 new NP jobs over the decade.

The average NP salary across the nation varies by source. According to the BLS (May 2021), NPs made an average annual mean wage of $118,040. The 2020 AANP National Workforce Survey corroborated this, finding that NPs made $110,000 on average (median). And according to the 1,976 NPs who self-reported salaries on Payscale.com (2022), the average NP salary came in at $100,531.

In general, the BLS (May 2021) found these national percentiles for all NPs employed nationwide:

United States
Number of Professionals Employed234,690
Annual Mean Wage$118,040
10th Percentile$79,470
25th Percentile$99,540
50th Percentile (Median)$120,680
75th Percentile$129,680
90th Percentile$163,350

This comprehensive guide to NP salaries examines how factors such as work experience, specialty, and region impact NP salaries in the United States, including a state-by-state breakdown of average salaries across the country.

Top Average Nurse Practitioner Salaries in the United States

As most of this comprehensive guide analyzes salaries based on region, the cost of living by region can be helpful in putting salaries into their greater economic context. The Missouri Economic Research and Information Center (MERIC 2021) provides an analysis of the cost of living based on economic considerations like groceries, housing, transportation, utilities, and health. Top and bottom salaries may be determined in part by how expensive or inexpensive it is to live in that state or region.

Here are the top-paying states and municipal regions in the US, according to the BLS (May 2021). Employment levels are provided to give context to the level of opportunity in the region:

Highest Average Annual Salaries for Nurse Practitioners by State

StateNumber of NPs EmployedAverage Annual Salary (mean wage)
California17,400$151,830
New Jersey6,690$137,010
New York15,190$133,940
Washington3,730$130,840
Massachusetts7,330$129,540
Oregon2,090$128,190
Hawaii460$127,490
Minnesota4,490$127,010
Rhode Island1,030$126,760
District of Columbia680$125,290

Highest Average Annual Salaries for Nurse Practitioners by City

RegionNumber of NPs EmployedAverage Annual Salary (mean wage)
San Jose-Sunnyvale-Santa Clara, CA1,220$197,870
Napa, CA90$184,700
Vallejo-Fairfield, CA130$180,380
San Francisco-Oakland-Hayward, CA2,550$177,160
Yuba City, CA30$159,260
San Luis Obispo-Paso Robles-Arroyo Grande, CA140$153,300
Sacramento–Roseville–Arden-Arcade, CA900$153,050
Santa Rosa, CA180$152,150
Santa Cruz-Watsonville, CA150$150,280
Fresno, CA440$147,760

Lowest Average Nurse Practitioner Salaries by State and City

The following sections demonstrate which states and regions offer the least amount in average compensation to nurse practitioners in the United States. To give these numbers perspective, the average annual salary across the 140,886,310 jobs (all occupations) surveyed by the BLS (May 2021) in the U.S. is $58,260. The average annual salary for all 5,772,460 healthcare practitioners in 2021 was $112,160.

Lowest Average Annual Salaries for Nurse Practitioners by State

StateNumber of NPs EmployedAverage Annual Salary
Puerto RicoNot reported$21,610
Tennessee7,850$95,120
Alabama4,300$102,410
South Carolina3,140$102,850
Missouri6,940$103,490
Florida14,880$104,830
West Virginia1,780$104,750
Idaho1,020$105,290
Kentucky4,550$106,080
Arkansas2,590$107,080

Lowest Average Annual Salaries for Nurse Practitioners by City or Region

RegionNumber of NPs EmployedAverage Annual Salary
West Tennessee nonmetropolitan area510$76,910
East Tennessee nonmetropolitan area240$79,820
South Central Tennessee nonmetropolitan area260$86,390
Punta Gorda, FL140$86,800
Knoxville, TN1,600$88,300
Lower Savannah South Carolina nonmetropolitan area100$88,690
Pine Bluff, AR80$92,740
Pocatello, ID60$92,790
North Missouri nonmetropolitan area200$92,860
Johnson City, TN400$92,930

Nurse Practitioner Salaries in Top-Employing States and Cities

While top paying states and regions may offer high salaries, there isn’t always an equally large amount of opportunity for employment. This section will detail the intersection where job opportunity and earning potential meet at their highest apex across the U.S.(BLS, May 2021)

Average Annual NP Salaries in States With Greatest Levels of Employment

StateNumber of NPs EmployedAverage Annual Salary
Texas17,810$117,890
California17,400$151,830
New York15,190$133,940
Florida14,880$104,830
Tennessee11,360$95,120
Ohio10,210$112,490
Pennsylvania7,610$117,260
Massachusetts7,330$129,540
Illinois7,160$120,470
Georgia7,020$109,560

Average Annual NP Salaries in Cities With Greatest Levels of Employment

RegionNumber of NPs EmployedAverage Annual Salary
New York-Newark-Jersey City, NY-NJ-PA15,060$141,010
Boston-Cambridge-Nashua, MA-NH5,610$132,070
Los Angeles-Long Beach-Anaheim, CA5,490$144,930
Chicago-Naperville-Elgin, IL-IN-WI4,960$122,950
Dallas-Fort Worth-Arlington, TX4,960$115,510
Nashville-Davidson–Murfreesboro–Franklin, TN4,400$98,600
Houston-The Woodlands-Sugar Land, TX3,810$123,810
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD3,800$121,370
Miami-Fort Lauderdale-West Palm Beach, FL3,710$105,250
Atlanta-Sandy Springs-Roswell, GA3,680$113,410

Top Salaries for Entry-Level NPs (10th Percentile NP Salaries)

Those fresh out of nurse practitioner programs may be interested to know where the earning potential is the highest for entry-level NPs. According to Payscale, the average entry-level salary for NPs nationwide is $93,459, earning 7 percent less than the average ($100,531).

The following section gives a snapshot of states and regions in the United States where salaries on the low end of the spectrum are highest. (BLS May 2021)

Highest 10th Percentile Nurse Practitioner Salaries by State

StateNumber of NPs Employed10th Percentile Salary
California17,400$103,910
New Jersey6,690$100,660
Massachusetts7,330$98,860
Washington3,730$98,500
Illinois7,160$97,950
Wisconsin4,770$97,090
Rhode Island1,030$96,550
New York15,190$96,420
District of Columbia680$96,420
North Dakota630$95,970

Highest 10th Percentile Nurse Practitioner Salaries By City

RegionNumber of NPs Employed10th Percentile Salary
San Jose-Sunnyvale-Santa Clara, CA1,220$151,080
Napa, CA90$139,810
Vallejo-Fairfield, CA130$130,630
San Francisco-Oakland-Hayward, CA2,550$128,050
Yuba City, CA30$126,220
Santa Maria-Santa Barbara, CA330$121,010
Modesto, CA270$121,010
Merced, CA90$120,910
Visalia-Porterville, CA190$120,740
Santa Cruz-Watsonville, CA150$115,640

Top Salaries for Highly Experienced NPs (90th Percentile NP Salaries)

For Nurse Practitioners with eyes on the long game, this section details the states and regions where earning potential is greatest for seasoned professionals. (BLS, May 2021)

90th Percentile Nurse Practitioner Salaries by State

StateNumber of NPs Employed90th Percentile Salary
California17,400Equal to greater than $208,000
Massachusetts7,330$167,980
New York15,190$167,750
Rhode Island1,030$167,750
Hawaii460$167,750
Pennsylvania7,610$165,900
Oregon2,090$165,520
Washington3,730$164,900
District of Columbia680$164,900
Alaska770$164,840

90th Percentile Nurse Practitioner Salaries by City

RegionNumber of NPs Employed90th Percentile Salary
San Francisco-Oakland-Hayward, CA2,550Equal to greater than $208,000
Pittsburgh, PA1,840Equal to greater than $208,000
San Jose-Sunnyvale-Santa Clara, CA1,220Equal to greater than $208,000
Sacramento–Roseville–Arden-Arcade, CA900Equal to greater than $208,000
Duluth, MN-WI300Equal to greater than $208,000
Santa Rosa, CA180Equal to greater than $208,000
Sioux City, IA-NE-SD160Equal to greater than $208,000
Vallejo-Fairfield, CA130Equal to greater than $208,000
Redding, CA90Equal to greater than $208,000
Sebring, FL50Equal to greater than $208,000

Average Salaries for NPs Based on Specialty

The specialty that an NP chooses will have an impact on salary. Based on all available self-reported NP salary data from Payscale.com (2022), the following illustrates the earning potential for NPs based on their chosen specialty.

SpecialtyNumber of NPs Reporting (2022)Average Annual Salary
Nurse Anesthetist66$163,372
Psychiatric1,481$113,048
Interventional RadiologyNot Reported$108,200
Gynecology23$108,000
Diagnosis and Treatment Planning6$107,989
Acute Care245$105,858
Medicine / Surgery42$105,772
Allergy TestingNot Reported$105,748
Intensive Care Unit35$105,506
Occupational Health14$105,364
Emergency Room (ER)47$105,092
Neuroscience10$104,762
Geriatrics204$103,715

NP Salaries Compared to Other Healthcare Professions

Because of their unique training, nurse practitioners can occupy many different roles within the world of healthcare. Like registered nurses (RNs), nurse practitioners can serve in a support role to an MD or group of MDs. Like physician assistants (PAs), NPs can provide care in cooperation with a physician, balancing independent practice with reliance on the training of board-certified MD for certain job functions such as prescribing controlled substances.

This section elucidates the differences between the salaries of healthcare professionals, according to BLS (May 2021).

NP Salaries vs. Registered Nurse (RN) Salaries

Nurse PractitionersRegistered Nurses
Employment234,6903,047,530
Annual Average Salary$118,040$82,750
10th Percentile $79,470$59,450
25th Percentile $99,540$61,790
50th Percentile (Median) $120,680$77,600
75th Percentile $129,680$97,580
90th Percentile$163,350$120,250

NP Salaries vs. Physician Assistant (PA) Salaries

Nurse PractitionersPhysician Assistants
Employment234,690132,940
Annual Average Salary$118,040$119,460
10th Percentile $79,470$77,940
25th Percentile $99,540$99,880
50th Percentile (Median) $120,680$121,530
75th Percentile $129,680$131,740
90th Percentile $163,350$164,620

NP Salaries vs. Family Medicine Physician Salaries

Nurse PractitionersFamily MDs
Employment234,690102,930
Annual Average Salary$118,040$235,930
10th Percentile $79,470$63,580
25th Percentile $99,540$143,830
50th Percentile (Median) $120,680Equal to greater than $208,000
75th Percentile $129,680Equal to greater than $208,000
90th Percentile $163,350Equal to greater than $208,000

Average NP Salary By US State

The following figures are from the Bureau of Labor Statistics (BLS May 2021).

StateNumber of NPs EmployedAverage Annual Salary
Alabama4,300$102,410
Alaska770$113,820
Arizona5,110$119,910
Arkansas2,590$107,080
California17,400$151,830
Colorado3,540$112,580
Connecticut2,650$120,450
Delaware940$116,230
District of Columbia680$125,290
Florida14,880$104,830
Georgia7,020$109,560
Hawaii460$127,490
Idaho1,020$105,290
Illinois7,160$120,470
Indiana6,340$113,490
Iowa2,190$121,370
Kansas2,630$108,710
Kentucky4,550$106,080
Louisiana4,200$112,650
Maine1,340$116,370
Maryland3,540$115,700
Massachusetts7,330$129,540
Michigan5,830$108,770
Minnesota4,490$127,010
Mississippi3,860$111,750
Missouri6,940$103,490
Montana730$115,710
Nebraska1,670$112,670
Nevada1,760$123,680
New Hampshire1,360$120,730
New Jersey6,690$137,010
New Mexico1,270$118,480
New York15,190$133,940
North Carolina6,940$112,730
North Dakota630$112,720
Ohio10,210$112,490
Oklahoma2,580$116,650
Oregon2,090$128,190
Pennsylvania7,610$117,260
Puerto RicoNot Reported$21,610
Rhode Island1,030$126,760
South Carolina3,140$102,850
South Dakota740$112,320
Tennessee11,360$95,120
Texas17,810$117,890
Utah2,180$112,920
Vermont720$112,540
Virginia6,560$112,320
Washington3,730$130,840
West Virginia1,780$104,750
Wisconsin4,770$116,990
Wyoming400$114,530
Becca Brewer

Becca Brewer

Writer

Becca Brewer is building a better future on a thriving earth by healing herself into wholeness, divesting from separation, and walking the path of the loving heart. Previously to her journey as an adventurer for a just, meaningful, and regenerative world, Becca was a formally trained sexuality educator with a master of education.