Adult-Gerontology
NP Jobs in the United States.

AGNPs care for patients from adolescence through advanced age. The primary care track (AGPCNP) manages prevention and chronic disease in outpatient settings, while the acute care track (AGACNP) manages complex and critically ill adults in hospitals. There are currently 17 adult-gerontology positions listed here.

Primary care AGNPs certify through ANCC (AGPCNP-BC) or AANPCB (A-GNP). Acute care AGNPs certify through ANCC (AGACNP-BC) or the American Association of Critical-Care Nurses (AACN, ACNPC-AG). Both tracks require graduate education and state APRN licensure.

Nationally, nurse practitioners earn a median annual wage of $132,300 (BLS OEWS, Nurse Practitioners (29-1171), median annual wage, May 2025). Adult-gerontology NP pay varies with experience, practice setting, geography, and employment type, so compare pay listing by listing using the ranges employers post.

Common settings include internal medicine and geriatrics practices, long-term care and skilled nursing facilities, hospital medicine teams, palliative care programs, and specialty clinics. Listings state which track they hire for.

Practice authority is set state by state, and the tier alone does not settle what applies to you. The AANP State Practice Environment classifies 27 states + DC as Full Practice, where state law lets nurse practitioners evaluate patients, diagnose, order and interpret diagnostic tests, and initiate and manage treatments, including prescribing medications and controlled substances, under the exclusive licensure authority of the state board of nursing. Several of those states first require a transition period of collaborative or supervised practice. Most other states require a collaborative agreement, supervision or delegation involving a physician or another health provider, and several of them offer a route out of it after a set amount of experience. Check the practice-authority details for the state you are browsing on its state jobs page, or in the Full Practice Authority guide, before relying on the tier.