Nurse Practitioner Salaries in North Carolina — 2026 Overview
BLS 2026The median nurse practitioner salary in North Carolina is $125,020 per year, equivalent to $60.11/hr, based on the Bureau of Labor Statistics OEWS programme. North Carolina employs approximately 8,020 nurse practitioners statewide.
Nurse Practitioner salaries in North Carolina are below the national average by approximately $4,059. North Carolina has a flat state income tax rate of 4.5%.
North Carolina's growing population and construction boom create consistent demand for nurse practitioners.
North Carolina Nurse Practitioner Take-Home Pay Calculator
InteractiveEnter your gross annual salary to estimate take-home pay in North Carolina after federal tax, Social Security and Medicare. North Carolina has a flat state income tax rate of 4.5%.
Estimate based on 2026 federal tax brackets, single filer, standard deduction. North Carolina has a flat state income tax rate of 4.5%. Does not account for local taxes or benefit deductions.
Am I Paid Fairly? — North Carolina Nurse Practitioner Check
InteractiveEnter your current salary to see how it compares to the North Carolina median of $125,020.
Nurse Practitioner Salary by Experience — North Carolina
Nurse Practitioner Salary Trend in North Carolina — 2021 to 2026
5-Year DataNurse Practitioner salaries in North Carolina have grown an estimated 13.9% over the past five years, reflecting broader workforce and economic conditions. The growth reflects broader workforce and economic conditions in North Carolina's healthcare and outpatient care.
Nurse Practitioner Salary by City — North Carolina
BLS Metro Data| City / Metro Area | Annual Median | Hourly | vs State | Jobs |
|---|---|---|---|---|
| Charlotte | $138,750 | $66.71 | +11.0% | 2,807 |
| Raleigh | $132,500 | $63.70 | +6.0% | 2,245 |
| Greensboro | $128,750 | $61.90 | +3.0% | 1,443 |
| Durham | $120,000 | $57.69 | -4.0% | 721 |
| Winston-Salem | $113,750 | $54.69 | -9.0% | 481 |
| Fayetteville | $108,750 | $52.28 | -13.0% | 320 |
Tip: Charlotte offers the highest nurse practitioner salaries in North Carolina at $138,750/yr — +11.0% above the state average.
North Carolina vs Nearby States — Purchasing Power
Cost of Living AdjustedGross salary figures don't tell the whole story. After adjusting for state income tax, North Carolina sits in the mid-range for nurse practitioners.
Take-home estimates based on single filer, standard deduction, 2026 federal brackets. North Carolina has a flat state income tax rate of 4.5%.
Nurse Practitioner Job Outlook in North Carolina
BLS ProjectionsEmployment for nurse practitioners in North Carolina is projected to grow over the next decade, driven by strong demand across the North Carolina job market. North Carolina's growing population and construction boom create consistent demand for nurse practitioners.
How to Earn More as a Nurse Practitioner in North Carolina
1. Pursue advanced certification or licensing. Moving from entry to senior level as a nurse practitioner in North Carolina typically adds $102,500 to your annual salary. Additional certifications from the State Board of Nursing can accelerate this progression.
2. Target the highest-paying city. Charlotte pays nurse practitioners $138,750/yr — +11.0% above the North Carolina average. Simply relocating within North Carolina can meaningfully increase your income without changing careers.
3. Specialise in high-demand areas. Nurse Practitioners who specialise in healthcare and outpatient care typically command premium rates in North Carolina. Identifying growing niches within your field is one of the fastest paths to higher pay.
4. Consider neighbouring states. Virginia pays nurse practitioners $124,210/yr — -0.6% vs North Carolina.
Find Nurse Practitioner Jobs in North Carolina
Live ListingsSearch current nurse practitioner job vacancies in North Carolina:
🔍 Nurse Practitioner jobs in North Carolina — Indeed→ 🔍 Nurse Practitioner jobs in North Carolina — ZipRecruiter→ 🔍 Nurse Practitioner jobs — Charlotte, NC→