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2026 Salary Data

NP Salary Guide

National median $129,210 per year (BLS OEWS, May 2024). State-by-state breakdown, experience levels, practice settings, and tips to maximize earnings.

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Estimated Annual Salary

$151,000

Range: $136,000$166,000

Base (National)$159,000
Setting$-8,000
Hourly equivalent~$73/hr

* Estimate from the median of 174 live job postings on NP Hiring with disclosed salary. Experience, setting, and specialty multipliers are NP Hiring's editorial estimates, not survey data. Figures rounded to the nearest $1,000; actual salary varies by employer.

Key Numbers

$129KNational Median
$95KEntry Level
$165K+Top 10%
40%Job Growth

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Sources: BLS OEWS, BLS Employment Projections, AANP, HRSA, and live NP Hiring postings

Quick Answer: NP Salary in 2026

The median NP salary is $129,210 per year (BLS OEWS, Nurse Practitioners (29-1171) — median annual wage, May 2024). New graduates start at $95,000-$115,000, while experienced NPs (7-15 years) earn $150,000-$180,000. Private practice owners can earn $180,000-$300,000+. Pay runs highest in West Coast and Northeast markets, with California, Washington, and New Jersey near the top in federal wage data.

Every salary range and percentage premium on this page other than the cited national median is NP Hiring's own editorial estimate, compiled from the roles posted here. Treat them as a starting point for negotiation, not as survey data.

Source: BLS OEWS, Nurse Practitioners (29-1171) — median annual wage, May 2024. Based on 198 active postings with disclosed salary on NP Hiring, recomputed as postings are ingested daily. Figures last reviewed July 28, 2026.

$129,210
National Median (BLS)
$165,000+
Top 10% Earn
40%
Job Growth by 2034
198
Live Postings Analyzed

Salary by Location

NP Salary by State

See how NP salaries compare across different states. Click any state name for its full salary breakdown.

Note: Each figure is the median of that state's active NP-eligible postings with disclosed, non-estimated salary (screened by job title), recomputed daily. A state appears with a figure only when it has at least 5 such postings from 3+ employers — states below that sample are listed separately without a figure. Each state name links to a detailed page with pay by setting and top employers.

Based on 198 active postings with disclosed salary on NP Hiring, recomputed as postings are ingested daily.

StateMedianP25–P75SampleActions
$225k$225k - $225k16 · 4 emp.Jobs
$223k$157k - $223k5 · 3 emp.Jobs
$166k$166k - $166k5 · 3 emp.Jobs
$165k$126k - $165k12 · 5 emp.Jobs
$164k$150k - $229k14 · 4 emp.Jobs
$159k$140k - $159k20 · 6 emp.Jobs
$158k$130k - $225k7 · 4 emp.Jobs
$150k$140k - $150k11 · 3 emp.Jobs
$140k$130k - $140k11 · 3 emp.Jobs

States with too few postings for a reliable figure

Fewer than 5 qualifying postings (or fewer than 3 employers) — sample too small to publish a salary figure. Browse the live listings instead:

Salary Breakdown

What Impacts Your Earnings

Every salary range and percentage premium on this page other than the cited national median is NP Hiring's own editorial estimate, compiled from the roles posted here. Treat them as a starting point for negotiation, not as survey data.

By Experience Level

ExperienceSalary RangeTypical Roles
New Grad (0-1 yr)$95,000 - $115,000Staff NP, Outpatient Clinic
Early Career (1-3 yrs)$110,000 - $130,000Staff NP, Telehealth Provider
Mid-Career (3-7 yrs)$125,000 - $150,000Senior NP, Team Lead
Experienced (7-15 yrs)$150,000 - $180,000Clinical Director, Supervisor
Expert (15+ yrs)$180,000 - $250,000+Director, Consultant, Private Practice

By Setting

Private Practice (Owner)
Highest earning potential, requires business skills
$180,000 - $300,000+
Travel / Locum Tenens
Includes housing, travel, higher hourly rates
$150,000 - $250,000
Telehealth / Remote
Growing rapidly, flexible schedules
$130,000 - $180,000
Outpatient Clinic
Most common setting, steady patient load
$120,000 - $160,000
Hospital / Inpatient
Often includes shift differentials, benefits
$115,000 - $150,000
Community Health (FQHC)
May qualify for loan forgiveness programs
$100,000 - $130,000

Specialty Premiums

Acute Care / Hospitalist+10-20%
Psychiatric-Mental Health+10-20%
Emergency / Urgent Care+10-20%
Dermatology / Aesthetics+10-25%
Gerontology / Palliative+5-10%
Private Practice (Owner)+20-40%
Rural / Underserved+10-15%

Full Practice Authority

27 states + DC grant FPA (AANP State Practice Environment). Practice authority is a legal classification, not a pay scale — it decides which ways of earning are open to you in that state.

✓ Full Practice Authority

  • • Own and bill under your own practice
  • • Independent 1099 and telehealth work
  • • Full clinical independence

Restricted / Reduced

  • • Collaborating physician required first
  • • That agreement is usually a paid one
  • • Physician oversight where restricted

Market Intelligence

Why NP Demand Is High

  • 90 million+ Americans live in primary-care shortage areas (HRSA)
  • 40% projected NP job growth through 2034 (BLS)

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Factors Affecting NP Salary

Geographic Location

Geographic Location

States with higher cost of living and greater demand (CA, NY, MA) typically offer 20-40% higher salaries than rural areas.

Experience Level

Experience Level

Entry-level NPs start around $95-115k. With 5+ years experience, salaries can reach $150-180k or more.

Practice Setting

Practice Setting

Private practice and telehealth positions often pay more than hospital or community health settings.

Employment Type

Employment Type

1099 contractors and travel NPs often earn 20-50% more than W2 employees, though without traditional benefits.

Specialization

Specialization

Subspecialties like acute care, emergency, psychiatric-mental health, or dermatology can command premium pay (+10-25%).

Negotiation

Negotiation

NPs who negotiate can often secure 5-15% higher starting salaries plus signing bonuses ($5,000-$30,000).

Common Questions

Frequently Asked Questions

How much do NPs make in 2026?
The national median NP salary is $129,210 per year (BLS OEWS, Nurse Practitioners (29-1171) — median annual wage, May 2024) — that is the one figure on this page taken from a public dataset. The experience ranges shown alongside it, roughly $95,000-$115,000 for new graduates and $150,000-$180,000+ for experienced NPs, are NP Hiring's own editorial estimates from the roles posted here rather than survey results, and individual offers move well outside them with setting, specialty, and location.
Which state pays NPs the most?
NP pay is consistently highest in West Coast and Northeast markets — California, Washington, Oregon, Nevada, and New Jersey rank near the top in federal wage data. When adjusted for cost of living, several Midwest and Southern states offer stronger real purchasing power.
Do telehealth NPs make less than in-person?
Broadly comparable — telehealth pay is not systematically lower, and in-person roles vary more by setting and acuity than telehealth does. The $120,000 to $170,000 range we see for telehealth roles, and the $180,000+ some national platforms pay experienced NPs with multi-state licenses, are NP Hiring's own estimates from the roles posted here rather than survey figures. Telehealth also trades differently on flexibility, licensure cost across states, and patient volume expectations, so compare specific offers rather than the ranges.
How can I increase my NP salary?
Top strategies include: specializing in high-demand areas like acute care, emergency, or psychiatric-mental health, practicing in a Full Practice Authority state so independent contract, telehealth, and practice-ownership work are open to you at all, modelling private practice against your own visit volume and overhead rather than a headline range, working in rural/underserved areas for loan repayment incentives, and always negotiating total compensation. The specialty premiums shown on this page are our own estimates from posted roles, so treat them as a hypothesis to test against real offers rather than a number to expect.
How much do travel NPs make?
Travel and locum tenens work is quoted as an hourly or weekly rate plus stipends rather than a salary, so it is not directly comparable to a permanent offer: the rate has to cover the health coverage, malpractice, retirement, and unpaid downtime a permanent job absorbs. The $150,000-$250,000 figure in the setting table on this page is NP Hiring's own estimate from posted travel and locum roles, not a survey figure. To see what a contract rate actually has to clear to match a salaried package, work through the 1099 vs W2 comparison, which computes the break-even instead of assuming one.

📋 Cite This Page

Use the following citation when referencing data from this salary guide:

NP Hiring. "2026 NP Salary Guide: Nurse Practitioner Pay by State." NP Hiring, February 2026, nphiring.com/salary-guide.

For media inquiries or custom data requests, contact press@nphiring.com

Data Sources & Methodology: Bureau of Labor Statistics (BLS OEWS, May 2024), HRSA, AANP, and analysis of 198 active NP job postings with disclosed salary on this board. Job posting data updates daily.

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