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2023 Salary Guide for US Nurse Practitioners

In the USA, a Nurse Practitioner’s salary depends upon their experience, skills, location, and other factors and typically is in the range of $100,000 per year [1]. In fact, a nurse practitioner’s salary ranks among the highest-paid nurses. In addition, given the high demand and shortage of candidates, a nurse practitioner’s salary is projected to keep rising in 2023. It is crucial for practicing nurses and those seeking certification as NPs to grasp the salary range in their field. 

Average starting salary of a nurse practitioner  $ 118,040 annually [2] 
Median annual NP salary  $ 120,680 annually [2] 
Average NP salary with Master of Science in Nursing  $111,260 annually [3] 
Average NP salary with Doctor of Nursing Practice  $120,660 annually [3] 
NP salary growth projection  *Average annual incomes increasing almost 35% [4] 

Below is a breakdown of nurse salaries by specialization, years of experience, region, and more. We’ll also compare NP earnings to those of related professions and explore strategies to enhance your financial situation. 

But before we dive into the specifics of nurse practitioner wages in the United States, let’s get a basic understanding of the role. 

 

Nurse Practitioner job 

Nurse practitioners (NPs) are advanced practice registered nurses (APRNs) who are trained to provide a range of healthcare services, including diagnosis and treatment of medical conditions, prescription of medications, and management of chronic conditions. NPs work in various settings, including hospitals, clinics, and private practices, and may specialize in areas such as primary care, acute care, or gerontology. 

With licensure as advanced practice registered nurse (APRN), a Nurse Practitioner can specialize in various areas, including pediatrics nurse practitioners, acute care pediatrics, and family nurse practitioners. 

The median NP salary in the US 

The median annual compensation for NPs in the U.S. is $107,480, $51.68 per hour, $2,067 per week, and $8,957 per month. It is to be noted that these values reflect the advanced training and education that NPs possess, which makes them among the highest-paid nurses in the country.  

In the following table, we compare the salary of a nurse practitioner in the US against the average salary of a US employee (across all industries): 

  Hourly Salary  Weekly Salary  Monthly Salary  Annual Salary 
Avg. Salary of NP in the US  $51.68  $2,067  $8,957  $107,480 
Avg. Salary in the US
(taking all professions) 
$24.34  $973  $4,218  $50,620 

 

Nurse Practitioners’ salary by state 

Geography also plays a big role in the nurse practitioner’s salary. NPs in the Western US earn an average salary of $127,120, followed by those in the Northeast at $114,560 and the South and Midwest at close to $108,370 [4]. 

Compensation also varies at the state level. The top-paying states follow the regional trends, with two in the West and three in the Northeast. 

State  Median Salary  Top 10%  Bottom 10% 
Alabama  $99,750  $128,460  $76,290 
Alaska  $123,140  $164,840  $48,670 
Arizona  $121,070  $162,820  $95,850 
Arkansas  $99,910  $130,770  $77,770 
California  $149,910  N/A  $103,910 
Colorado  $102,370  $131,970  $78,230 
Connecticut  $125,360  $163,710  $79,470 
Delaware  $121,470  $152,130  $90,280 
District of Columbia  $121,470  $164,900  $96,420 
Florida  $101,110  $130,630  $61,990 
Georgia  $101,690  $141,880  $77,660 
Hawaii  $131,000  $167,750  $80,130 
Idaho  $102,060  $152,710  $47,490 
Illinois  $122,960  $141,200  $97,950 
Indiana  $104,020  $131,000  $96,040 
Iowa  $121,470  $163,080  $94,590 
Kansas  $100,590  $128,550  $78,480 
Kentucky  $100,260  $130,630  $78,380 
Louisiana  $103,610  $152,960  $77,940 
Maine  $119,550  $135,150  $96,040 
Maryland  $104,550  $141,140  $95,710 
Massachusetts  $128,160  $167,980  $98,860 
Michigan  $102,060  $130,630  $94,430 
Minnesota  $127,690  $163,360  $92,710 
Mississippi  $101,840  $154,130  $77,940 
Missouri  $101,180  $129,510  $61,820 
Montana  $122,100  $130,630  $96,040 
Nebraska  $103,340  $133,840  $93,020 
Nevada  $127,620  $164,070  $95,530 
New Hampshire  $121,070  $153,070  $96,040 
New Jersey  $129,240  $163,420  $100,660 
New Mexico  $121,070  $159,790  $78,660 
New York  $128,220  $167,750  $96,420 
North Carolina  $102,370  $133,790  $95,460 
North Dakota  $103,550  $129,970  $95,970 
Ohio  $103,310  $135,180  $95,280 
Oklahoma  $109,660  $152,130  $80,280 
Oregon  $127,690  $165,520  $96,040 
Pennsylvania  $106,700  $165,900  $84,940 
Rhode Island  $125,540  $167,750  $96,550 
South Carolina  $100,020  $130,200  $76,490 
South Dakota  $102,060  $129,270  $80,650 
Tennessee  $99,630  $129,510  $48,060 
Texas  $121,010  $154,080  $81,160 
Utah  $105,220  $163,350  $60,280 
Vermont  $101,790  $152,920  $78,690 
Virginia  $102,860  $152,130  $78,660 
Washington  $128,980  $164,900  $98,500 
West Virginia  $100,020  $129,480  $77,720 
Wisconsin  $121,310  $131,100  $97,090 
Wyoming  $102,370  $148,870  $93,720 

*Source: U.S. Bureau of Labor Statistics (BLS) 2021 median salary [5] 

Highest-paying states for Nurse Practitioners

The highest-paying state for Nurse Practitioners is California offering an average annual wage of $151,830. Meanwhile, the average hourly wage is $72.99. The state employs about 17,400 NPs. 

The list of the top 5 highest-paying states for NPs: 

STATE  AVERAGE ANNUAL NP SALARY 
California   $151,830 
New Jersey  $137,010 
New York  $133,940 
Washington  $130,840 
Massachusetts  $129,540 

Lowest-paying states for Nurse Practitioners

Tennessee is the state that pays Nurse Practitioners the lowest average annual salary in the USA. 

The average annual wage for an NP in Tennessee is $95,120. Meanwhile, the average hourly wage is $45.73. The state employs about 11,360 NPs. 

The list of lowest-paying states for NPs: 

STATE  AVERAGE ANNUAL NP SALARY 
Tennessee  $102,410 
Alabama  $137,010 
South Carolina  $102,850 
Missouri   $103,490 
West Virginia  $104,750 

Looking at the tables above, it can be tempting to decide to move to the highest-paying state for NP, but keep in mind that when considering moving to a different location as a travel nurse, one should take into consideration the cost of living in that particular location. Some areas have a higher cost of living, which can affect the overall salary earned.  

For instance, living in states like California would be more costly than in Alabama. This may account for some of the wage variations, but it is worth noting that there are still opportunities to earn more by working in different locations. 

Highest-paying cities for Nurse Practitioners 

Prospective NPs should also consider how salaries vary among different metropolitan areas. The metropolitan areas within Northern California have some of the highest NP salaries, mainly in the San Francisco Bay Area. Additionally, the Bureau of Labor Statistics (BLS) has reported that some metropolitan areas have high employment opportunities for NPs.  

The top-paying metropolitan areas for nurse practitioners are: 

HIGHEST-PAYING CITIES  AVERAGE SALARY 
San Jose — Sunnyvale — Santa Clara, CA  $197,870 
Napa, CA  $184,700 
Vallejo — Fairfield, CA  $180,380 
San Francisco — Oakland — Hayward, CA  $177,160 
Yuba City, CA  $159,260 

Nurse Practitioner salaries by specialization 

A nurse practitioner’s wage can also depend on their area of certification. On average, Psychiatric NP careers earn the highest average salaries, making nearly $40,000 more than NPs who focus on pediatric nursing practice. 

Below we list some of the NP Salaries by specialization in descending order of annual base salary: 

NP SPECIALIZATION  ANNUAL BASE SALARY 
Psychiatric/mental health nurse practitioner  $131,500 
Primary care nurse practitioner  $115,000 
Urgent care nurse practitioner  $120,000 
Oncology/hematology nurse practitioner  $120,000 
Geriatric nurse practitioner  $118,000 
Internal medicine nurse practitioner  $120,000 
Cardiovascular nurse practitioner  $120,000 
Pediatrics nurse practitioner  $110,000 
Family nurse practitioner  $110,000 
Women’s health nurse practitioner  $105,000 

Do keep in mind that these NP salaries are based on AANP Compensation Surveys. So, your salary can vary within your specialty depending on your experience, education, location, and other factors. 

Highest paying industries for Nurse Practitioners 

The NP’s salary varies depending on the industry in which they are employed.  

As healthcare needs evolve, Nurse Practitioners (NPs) are becoming more and more vital in a wide range of industries, not just in hospitals but also in a growing number of community and outpatient care settings. NPs are playing a crucial role by providing a bridge between doctors and nursing staff, and by working independently. 

To earn top dollar, NP job-seekers may want to consider exploring the following fields: 

INDUSTRY/WORKPLACE  AVERAGE SALARY 
Accounting, Tax Preparation, Bookkeeping, and Payroll Services  $148,980 
Business, Professional, Labor, Political, and Similar Organizations  $133,800 
Home Health Care Services  $133,170 
Psychiatric and Substance Abuse Hospitals  $131,830 
Outpatient Care Centers  $129,190 

Comparing Nurse Practitioner salaries  

With a mean annual wage of $118,040, NPs earn significantly more money than registered nurses (RNs) and clinical nurse specialists (CNSs). The chart below compares RN, CNS, and APRN salaries, along with pay for nurse administrators, anesthetists, and midwives.  

CAREER  MEDIAN ANNUAL SALARY 
Nurse Practitioners  $120,680 
Registered Nurses  $77,600 
Nurse Midwives  $112,830 
Physician Assistants  $121,530 
Nurse Anesthetists  $195,610 

How to increase pay as an NP 

According to BLS data, NPs can expect a general salary range of $79,470 for the lowest 10% and up to $163,350 for the highest 10%. Within this range, however, several factors influence NP salary levels, such as certifications, education level, years of experience or experience type, and practice setting. Key ways for NPs to earn higher wages include: 

Obtain higher certifications or education 

While holding an MSN degree is the minimum requirement to become an NP, many NPs choose to pursue a Doctor of Nursing Practice (DNP) degree. Additionally, state licensure boards require NPs to obtain  

Produce medical writing 

NPs with writing skills can use their medical knowledge to earn extra income through medical writing. This can include writing research papers, medicine-related news articles, content for healthcare websites, journal abstracts, and more. 

Explore administrative roles 

Nurse administrators typically earn an average salary of $119,840 and take on leadership and management roles in hospitals, healthcare facilities, and physician group practices. They often pursue MSN/MBA or MSN/Master of Health Administration dual degrees and apply for certification as nurse executives. 

Switch to lucrative specialization 

While many NPs specialize in family nurse practice, pediatrics, primary care, and obstetrics/gynecology, they may not always be the highest-paying specialties. To maximize income, NPs may consider areas like psychiatry, urgent care, acute care, and adult medicine when choosing a specialty. 

Conclusion 

Nursing is one of the most in-demand, stable careers out there. While the pandemic has substantially increased the demand for nursing staff all over the country, in the long run, the expanding life expectancy and quality of life for the average American is leading to sizable growth of the elderly population. By 2030, it’s estimated that the number of jobs for Nurse Practitioners will rise by an astounding 45% from the current numbers. That’s much faster compared to almost every other career. Moreover, in 25 U.S. states, Nurse Practitioners operate with full practice authority – without doctor’s supervision- thus justifying the attractive nurse practitioner salaries! 

That said, depending on the organization, employers might prefer to hire candidates with a certain level of experience or specialize in a particular area or patient population and pay accordingly. Having a higher degree can make an impact when you’re shooting for certain roles, too. 

Search and apply online for Nurse Practitioner (NP) positions today, whether you’re just starting out or looking to advance your career. 

 

FAQs 

What is Nurse Practitioner?

A Nurse Practitioner (NP) is a licensed advanced practice registered nurse (APRN) who has completed graduate-level education and training in providing a range of healthcare services, including diagnosis and treatment of medical conditions, prescription of medications, and management of chronic conditions. NPs may specialize in primary care, acute care, or gerontology. 

What exactly does a nurse practitioner do? 

NPs work in a variety of settings, including hospitals, clinics, and private practices. They typically provide primary, acute, and specialty care and are authorized to diagnose, treat, and prescribe medication for patients and manage their care. They also provide education to patients, families, and staff to promote health and well-being. 

Is an NP as good as a doctor? 

NPs are highly trained healthcare providers with a master’s or doctorate level of education qualified to diagnose and treat a wide range of medical conditions and have the authority to prescribe medications. NPs are not considered the same as medical doctors (MDs), but they have similar responsibilities and can provide many of the same services. 

What is Nurse Practitioner Salary in California?

With a $151,830 / year nurse practitioner salary in California, it is considered the top-paying state for NP in the USA.

What is Nurse Practitioner Salary in Georgia?

Nurse Practitioners can make around $101,690 a year in Georgia. The top 10% can also expect to make $141,880 annually.

What is Nurse Practitioner Salary in Texas?

Typically a nurse practitioner’s salary in Texas is around $121,010.

What is Nurse Practitioner Salary in New York?

The average nurse practitioner salary in New York is $133,940 annually. NY is one of the top five states offering the highest NP salary in the US.

What is Nurse Practitioner Salary in Ohio?

The salary of nurse practitioners in Ohio can range from $135,180 – $95,280 annually.

Who makes more money – RN or NP?

NPs typically earn more money than RNs, with the median annual salary for NPs being around $107,480 as per the most recent data from the Bureau of Labor Statistics (BLS). But the salary for nurses varies depending on a number of factors such as location, specialty, level of experience, and qualifications. 

Is a PA higher than an NP? 

No, Physician Assistant (PA) and Nurse Practitioner (NP) are different healthcare professions with different education and training requirements. They work together as part of a healthcare team and have some similarities in the scope of their practice, but they have different responsibilities and legal authority. 

What is the highest-paid nurse practitioner? 

The highest-paid nurse practitioner can vary depending on various factors such as location, specialty, level of experience, and qualifications. Generally speaking, NPs that specialize in certain areas such as psychiatry, urgent care, acute care, and adult medicine tend to earn higher salaries compared to others.  

How much do NPs make in MA? 

NP salaries in MA can vary depending on location, specialty, level of experience, and qualifications. According to the Bureau of Labor Statistics (BLS), the median salary for nurse practitioners in Massachusetts is around $128,160 per year.  

 

References

[1] https://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm#tab-1

[2] https://www.bls.gov/oes/current/oes291171.htm

[3]  Clinical Advisor Salary Survey,2020

[4] https://nursejournal.org/nurse-practitioner/salary/

[5] https://www.bls.gov/oes/current/oes291171.htm#st