NP Salaries

Nurse Practitioner Specialties and Salaries

How the highest-paid nurse practitioner specialties compare. Psychiatric mental health, acute care, cardiology, and emergency NPs consistently top the list, but pay varies with state practice authority, setting, and certification.

Top paying nurse practitioner specialties

Ranked by national median salary. Ranges reflect the 25th–90th percentile band across BLS OEWS and specialty compensation surveys.

  • Psychiatric Mental Health NP (PMHNP) — median $156,000 ($125k–$200k) · Highest-paid NP specialty on most surveys; huge unmet demand.
  • Acute Care NP (AGACNP) — median $135,000 ($110k–$170k) · Hospital and ICU-based advanced practice.
  • Cardiology NP — median $132,000 ($105k–$165k) · Procedural cardiology and heart failure clinics pay top of range.
  • Emergency NP — median $130,000 ($105k–$165k) · ED and urgent care; ENP certification preferred.
  • Neonatal NP (NNP) — median $128,000 ($105k–$160k) · Level III / IV NICU centers pay highest.
  • Oncology NP — median $126,000 ($100k–$155k) · AOCNP certification adds a premium.
  • Family NP (FNP) — median $120,000 ($95k–$150k) · Largest NP population; primary care base rate.
  • Adult-Gerontology Primary Care NP (AGPCNP) — median $118,000 ($95k–$145k) · Primary care for adult and older adult populations.
  • Pediatric NP (PNP) — median $115,000 ($92k–$145k) · Primary care and specialty peds tracks.
  • Women's Health NP (WHNP) — median $114,000 ($92k–$140k) · OB/GYN, family planning, and women's primary care.

What drives NP pay

  • Specialty — psych, acute care, and cardiology lead
  • Setting — hospital-based NPs earn more than clinic-based
  • State practice authority — full-practice states pay a premium
  • Certification — PMHNP-BC, ACNPC-AG, ENP, AOCNP add value
  • On-call and procedural work
  • Years of experience and productivity models (RVU-based comp)

NP vs other APRN roles

Among APRNs, CRNAs earn the most (median $212k+), followed by high-paying NP specialties, then CNMs and CNSs. Compare with the full APRN and RN salary table below.

  • Certified Registered Nurse Anesthetist (CRNA) — median $212,650
  • Nurse Practitioner (NP) — median $126,260
  • Certified Nurse-Midwife (CNM) — median $120,880
  • Clinical Nurse Specialist (CNS) — median $115,000

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FAQ

Frequently asked questions

What is the highest paid nurse practitioner specialty?

Psychiatric Mental Health NPs (PMHNPs) top most recent NP salary surveys, with median pay in the mid-$150k range and top earners well above $200k. CRNA — technically an APRN, not an NP — pays more overall.

How much do nurse practitioners make on average?

The overall NP median is around $126,000 according to BLS OEWS, but specialty, setting, and geography change that meaningfully. Hospital-based acute care and psychiatric NPs earn well above the average.

Which NP specialty is most in demand?

Psychiatric mental health, family, and adult-gerontology primary care lead demand. Psych NP demand is driven by a national mental health workforce shortage.

Do NP salaries vary by state?

Yes. NPs in full-practice states (where NPs can diagnose, prescribe, and manage care independently) often earn more than in reduced or restricted-practice states. California, Massachusetts, New Jersey, and Washington are consistently top-paying.

What drives nurse pay the most?

Credential (APRN > RN > LPN), specialty (procedural and critical-care top the list), geography (CA, HI, MA, OR pay highest), employer type (hospitals and outpatient surgery centers pay more than schools or LTC), shift differentials, and certifications.

Where do these numbers come from?

Medians are from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) plus specialty board and industry compensation surveys. Local pay can vary 20–40% above or below the national median.