Source: BLS OEWS, Nurse Practitioners (29-1171), median annual wage, May 2025. The Alabama 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 Gadsden run about 11% below the national average (100), per NP Hiring's city dataset.
Adjusted for local costs, this job's posted range of $125,000 to $170,000 is worth about $140,449 to $191,011 in national-average dollars.
AANP classification: Reduced Practice
Alabama requires NPs to practice under a collaborative practice agreement with a physician. For NPs with less than two years (4,000 hours) of collaborative practice experience since initial certification or in the collaborating physician's specialty, the collaborating physician or an approved covering physician must be present for at least 10 percent of scheduled hours, although certain settings and limited protocols are exempt. Classification source: AANP State Practice Environment
