Healthcare North Carolina (NC) Rank #30 of 50

Nurse Practitioner Salary in North Carolina

The median nurse practitioner salary in North Carolina is $111,881 per year, which is 8% below the national median of $121,610.

Median Salary
$111,881
vs National
$-9,729
State Rank
#30 of 50
Cost of Living
92%

Nurse Practitioner Salary Overview in North Carolina (2026)

North Carolina ranks #30 out of 50 states for nurse practitioner compensation. Nurse Practitioner salaries in North Carolina are below the national median, though the lower cost of living can offset the difference. At $111,881 per year, nurse practitioners in North Carolina earn $9,729 less than the national median of $121,610.

A key advantage of working in North Carolina is its below-average cost of living (92% of the national index). This means the $111,881 salary has the purchasing power of roughly $121,610 in an average-cost area.

The salary spread in North Carolina is significant: nurse practitioners at the 10th percentile earn $80,132, while those at the 90th percentile bring home $154,744 — a $74,612 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in North Carolina for this role is Charlotte, where the median reaches $119,178.

Nationally, nurse practitioner employment is projected to grow 40% over the next decade (much faster than average). This strong growth suggests increasing demand and competitive salaries in North Carolina and beyond.

Nurse Practitioner Salary in North Carolina by Experience

In North Carolina, an entry-level nurse practitioner earns around $82,800, while experienced professionals earn up to $142,600 per year. The cost of living index in North Carolina is 92% of the national average.

Entry Level (0-2 yrs)
$82,800
$-7,200 vs national
Mid Level (3-7 yrs)
$112,240
$-9,760 vs national
Senior Level (8+ yrs)
$142,600
$-12,400 vs national

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Salary Percentiles in North Carolina

Percentile NC Salary
10th Percentile $80,132
25th Percentile $95,864
Median (50th) $111,881
75th Percentile $132,020
90th Percentile $154,744

Nurse Practitioner Salary by City in North Carolina

The largest employment areas for nurse practitioners in North Carolina include Charlotte, Raleigh, Durham, and Greensboro. Salaries vary by city based on local cost of living and demand.

How to Become a Nurse Practitioner in North Carolina

Education

Most nurse practitioner positions require a master's degree. North Carolina has several accredited institutions offering relevant programs.

Key Skills

Advanced AssessmentPharmacologyDiagnosisPatient EducationEMR SystemsClinical Decision-Making

Job Outlook in North Carolina

Nationally, nurse practitioner employment is projected to grow 40% over the next decade (much faster than average). North Carolina's demand may vary based on local industry trends.

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Frequently Asked Questions: Nurse Practitioner Salary in North Carolina

How much does a Nurse Practitioner make in North Carolina? ▼
The median nurse practitioner salary in North Carolina is $111,881 per year, which is 8% below the national median of $121,610. Salaries range from $80,132 (10th percentile) to $154,744 (90th percentile).
How much does a Nurse Practitioner make per hour in North Carolina? ▼
Based on the median annual salary of $111,881, a nurse practitioner in North Carolina earns approximately $54 per hour assuming a standard 2,080-hour work year.
Is North Carolina a good state for nurse practitioners? ▼
North Carolina ranks #30 out of 50 states for nurse practitioner pay. The cost of living index is 92% of the national average. Entry-level nurse practitioners earn $82,800, while senior professionals earn $142,600.
How does North Carolina compare to other states for nurse practitioner salary? ▼
The highest paying state for nurse practitioners is Hawaii at $216,466. North Carolina's median of $111,881 ranks #30 nationally. Nearby-ranked states include Montana ($113,097) and Idaho ($111,881).
What is the entry-level nurse practitioner salary in North Carolina? ▼
An entry-level nurse practitioner in North Carolina earns approximately $82,800 per year. With 3-7 years of experience, pay increases to around $112,240. Senior-level professionals with 8+ years earn up to $142,600.
What city in North Carolina pays nurse practitioners the most? ▼
Charlotte is the highest paying city in North Carolina for nurse practitioners, with a median salary of $119,178. Other cities include Raleigh and Durham.