Source: BLS OEWS, Nurse Practitioners (29-1171), median annual wage, May 2025. The Missouri median is computed from live postings with disclosed, non-estimated salary on NP Hiring.
Cost-of-living index: 89-11% vs. national average
Living costs in Manchester run about 11% below the national average (100), per NP Hiring's city dataset.
Adjusted for local costs, this job's posted range of $115,000 to $135,000 is worth about $129,213 to $151,685 in national-average dollars.
AANP classification: Restricted Practice
Missouri requires NPs to have a collaborative practice arrangement with physician supervision. Classification source: AANP State Practice Environment
