Source: BLS OEWS, Nurse Practitioners (29-1171), median annual wage, May 2025. The Kentucky median is computed from live postings with disclosed, non-estimated salary on NP Hiring.
Cost-of-living index: 87-13% vs. national average
Living costs in Paducah run about 13% below the national average (100), per NP Hiring's city dataset.
Adjusted for local costs, this job's posted range of $127,467 to $127,467 is worth about $146,514 to $146,514 in national-average dollars.
AANP classification: Reduced Practice
Kentucky NPs need a collaborative agreement with a physician to prescribe, with separate agreements for nonscheduled legend drugs and for controlled substances. Once NPs have four years of prescribing experience, which can include prescribing in another state, they may prescribe without these agreements, though dropping the controlled substance agreement first requires a Board of Nursing good standing review. Classification source: AANP State Practice Environment
