That answer depends on several things, namely specialty and location. In January of 2009, Advance for Nurse Practitioners* reported the average annual salary for NPs as $89,579. NPs that work in acute care settings have notoriously been among the top earners, along with entrepreneurs with their own practice. This year, however, hospital and surgery setting earners dropped out of the top five spots for the first time in 10 years. Mental health increased 4 spots and a new category added to the survey this year, house call, ranked 5. Those working in educational settings still tend to earn the least. Geography also matters when it comes to pay scale, and California took the lead again with an average salary of $106,481. The lowest salary was in South Dakota, with an average of $77,192.
The Journal of the American Academy of Nurse Practitioners** presented their April/May 2008 compensation survey data showing an average total income of $92,110. Once again, acute care was the highest paying specialty, with a total income average of $98,370. AANP’s data showed women’s health at the lowest earner at $87,520. The far west geographic region (included Alaska, California, Hawaii, Nevada, Oregon, and Washington) was the highest average income at $106,840.
By setting (Advance):
2007 |
2009 (average/median) |
Emergency Department: $95,157 |
Own practice (across all settings): $116,021 / $100,000 |
Neonatal unit:$93,959 |
Aesthetics/Skin care practice: $105,152 / $100,000 |
Own practice (across all settings): $89,634 |
Emergency Department: $104,369 / $100,000 |
Skin care/aesthetics: $87,773 |
Mental health setting: $100,140 / $92,345 |
Hospital: $86,639 |
House calls (Not asked in 2007): $98,915 ave/ median $85,500 |
Surgery setting: $86,256 |
Neonatal unit: $95,280 / $94,000 |
Oncology clinic: $84,578 |
Hospital: $93,694 / $90,000 |
Mental health setting: $82,978 |
Gerontology: $91,863 / $88,000 |
| Gerontology: $82,556 | Surgery setting: $90,959 / $86,500 |
| Cardiology Clinic: $82,460 | Cardiology Clinic: $90,159 / $88,000 |
| Internal Medicine: $81,671 | Retail clinic: $89,049 / $88,000 |
| Retail Clinic: $81,154 | Internal Medicine: $88,903 / $85,000 |
| Corrections: $79,538 | Corrections: $88,880 / $88,000 |
| HIV Clinic: $79,204 | Oncology Clinic: $88,856 / $88,000 |
| Family Practice: $79,091 | HIV Clinic: $88,086 / $88,000 |
| Diabetes/Endocrinology Clinic: $79,032 | Family practice: $86,520 / $83,000 |
| Pediatric practice: $78,120 | Diabetes/Endocrine clinic: $85,244 / $82,000 |
| Women’s Health Practice: $76,483 | Pediatric practice: $83,926 / $80,000 |
| College Health (12 months): $72,236 | Women's health practice: $83,319 / $80,000 |
| Elementary/secondary school: $71,512 | College Health (12mo): $81,981 / $80,000 |
| Academia: $68,624 | Academia: $81,552 / $76,500 |
| College Health (9 months): $55,185 | Elementary/secondary school: $76,965 / $78,000 |
| College health (9mo): $63,452 / 61,728 |
Top 5, by state (Advance):
2007 |
2009 (average/ median) |
| CA- $96,225 | CA- $106,481 / $104,000 |
| RI- $96,024 | AK- $102,710 / $103,000 |
| DC- $90,530 | NJ- $98,896 / $96,250 |
| HI- $89,814 | NV- $97,836 / $100,000 |
| AZ- $89,641 | AZ- $97,242 / $91,000 |
Bottom 3, by state (Advance):
2007 |
2009 (average/ median) |
| VT- $62,505 | SD- $77,192 / $78,000 |
| WV- $71,905 | AL- $79,733 / $80,000 |
| ME- $73,653 | NE- $79,782 / $79,650 |
By specialty (AANP):
Acute Care- $98,370
Adult- $92,840
Pediatrics- $90,760
Family- $90,440
Gerontology- $90,101
Women’s Health- $87,520
* To see the full report, visit Advance for Nurse Practitioners.
** Published in Journal of the American Academy of Nurse Practitioners, 21, (2009) pages 186-188 by Mary Jo Goolsby. To access this article visit the Journal's Home.