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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

$172,896

Range: $155,607$190,186

Base (National)$181,996
Setting$-9,100
Hourly equivalent~$83/hr

* Estimates based on BLS, ZipRecruiter, Indeed, and 10,000+ job postings. Actual salary varies by employer.

Key Numbers

$129KNational Median
$95KEntry Level
$165K+Top 10%
45%Job Growth

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Sources: BLS, ZipRecruiter, Indeed, PayScale, Glassdoor, CompHealth

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.

$129,210
National Median (BLS)
$165,000+
Top 10% Earn
45%
Job Growth by 2032
722
Live Postings Analyzed

Salary by Location

NP Salary by State

See how NP salaries compare across different states. Click any state to view available jobs.

Note: Real-time salary data from active NP job postings. For comprehensive state-by-state data including cost-of-living adjustments, download our full PDF guide above.

StateAvg. SalaryRangeJobsActions
1
MissouriMO
$327k$180k - $389k4Jobs
2
OregonOR
$323k$121k - $467k9Jobs
3
New HampshireNH
$315k$98k - $475k22Jobs
MichiganMI
$269k$60k - $407k11Jobs
KentuckyKY
$264k$98k - $395k12Jobs
WisconsinWI
$257k$123k - $406k3Jobs
CaliforniaCA
$247k$48k - $728k74Jobs
MaineME
$245k$60k - $455k10Jobs
WashingtonWA
$226k$48k - $467k17Jobs
DelawareDE
$226k$98k - $385k4Jobs
MinnesotaMN
$218k$60k - $393k13Jobs
UtahUT
$216k$98k - $251k11Jobs
OhioOH
$216k$60k - $414k15Jobs
KansasKS
$203k$105k - $400k4Jobs
Rhode IslandRI
$200k$83k - $300k11Jobs
NevadaNV
$198k$180k - $215k1Jobs
HawaiiHI
$198k$180k - $215k1Jobs
ArkansasAR
$198k$180k - $215k1Jobs
AlabamaAL
$198k$180k - $215k1Jobs
IllinoisIL
$193k$92k - $300k11Jobs
IowaIA
$183k$123k - $215k2Jobs
AlaskaAK
$181k$155k - $215k2Jobs
ColoradoCO
$179k$48k - $350k17Jobs
ArizonaAZ
$174k$123k - $215k5Jobs
North DakotaND
$170k$122k - $215k2Jobs
South CarolinaSC
$169k$142k - $215k10Jobs
OklahomaOK
$166k$61k - $400k6Jobs
WyomingWY
$163k$123k - $215k2Jobs
TexasTX
$163k$48k - $500k34Jobs
FloridaFL
$162k$60k - $370k34Jobs
MississippiMS
$161k$105k - $215k2Jobs
North CarolinaNC
$161k$48k - $440k26Jobs
MassachusettsMA
$161k$48k - $728k33Jobs
IndianaIN
$161k$48k - $375k9Jobs
MarylandMD
$160k$48k - $371k16Jobs
ConnecticutCT
$158k$98k - $215k8Jobs
District of ColumbiaDC
$156k$136k - $162k4Jobs
MontanaMT
$150k$98k - $215k2Jobs
IdahoID
$150k$98k - $215k2Jobs
New MexicoNM
$150k$98k - $215k3Jobs
TennesseeTN
$137k$61k - $215k4Jobs
LouisianaLA
$136k$60k - $215k2Jobs
GeorgiaGA
$134k$60k - $215k12Jobs
PennsylvaniaPA
$132k$48k - $291k35Jobs
New JerseyNJ
$130k$60k - $281k22Jobs
New YorkNY
$129k$48k - $281k41Jobs
VermontVT
$119k$60k - $215k8Jobs
VirginiaVA
$117k$48k - $252k27Jobs
South DakotaSD
$103k$98k - $108k1Jobs
NebraskaNE
$102k$48k - $215k9Jobs

Salary Breakdown

What Impacts Your Earnings

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). NPs in FPA states earn 12-15% more on average.

✓ Full Practice Authority

  • • +12-15% salary premium
  • • Can own practice independently
  • • Full clinical independence

Restricted / Reduced

  • • Baseline salary
  • • Requires physician collaboration
  • • Physician oversight required

Market Intelligence

2026 NP Market Trends

Metric202420252026
Job Postings (Monthly)12,50014,20015,800
Telehealth %48%55%62%
Time to Fill (days)453832

Why Demand is High

  • 90 million+ Americans live in primary-care shortage areas (HRSA)
  • 45% projected NP job growth through 2032 (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). New graduates typically start at $95,000-$115,000, while experienced NPs earn $150,000-$180,000+ depending on 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?
Telehealth NPs typically earn $120,000 to $170,000 — broadly comparable to in-person roles, which vary more by setting and acuity. Telehealth offers excellent flexibility, and some national telehealth platforms pay $180,000+ for experienced NPs with multi-state licenses.
How can I increase my NP salary?
Top strategies include: specializing in high-demand areas like acute care, emergency, or psychiatric-mental health (+10-25% premium), practicing in Full Practice Authority states (+12-15% premium), considering private practice ownership ($180,000-$300,000+), working in rural/underserved areas for loan repayment incentives, and always negotiating total compensation.
How much do travel NPs make?
Travel and locum tenens NPs typically earn 20-50% more than permanent positions, with compensation ranging from $150,000 to $250,000+ including housing stipends and travel allowances.

📋 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 722 active NP job postings with disclosed salary on this board. Job posting data updates daily.

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