Family Nurse Practitioner (FNP) Salary Guide

Family nurse practitioner salary guide

The average family nurse practitioner (FNP) salary is $108,488, according to the 2021 Nurse Practitioner and Physician Assistant Salary Survey conducted by Clinical Advisor. 

According to, as of May 2023, the average salary for FNPs was $120,897, with a salary range from $112,186 and $131,340. 

The single biggest differential in average salaries paid to Family Nurse Practitioners is tied to the region in which they work. 

State Annual Salary Hourly Wage
New York $128,012 $61.54
New Hampshire $119,032 $57.23
Vermont $117,451 $56.47
Arizona $112,005 $53.85
Hawaii $111,911 $53.80
Wyoming $111,780 $53.74
Massachusetts $111,762 $53.73
Nevada $111,160 $53.44
Tennessee $111,058 $53.39
New Jersey $109,721 $52.75
Washington $109,271 $52.53
Indiana $108,147 $51.99
West Virginia $107,865 $51.86
Connecticut $107,584 $51.72
Montana $106,965 $51.43
Minnesota $106,474 $51.19
Rhode Island $105,914 $50.92
Alaska $105,864 $50.90
Oregon $105,738 $50.84
Pennsylvania $105,301 $50.63
North Dakota $103,379 $49.70
Maryland $102,676 $49.36
Wisconsin $101,399 $48.75
Idaho $100,844 $48.48
Ohio $100,572 $48.35
Virginia $100,051 $48.10
California $99,291 $47.74
South Dakota $99,138 $47.66
Iowa $98,807 $47.50
Utah $98,613 $47.41
Alabama $97,563 $46.91
Colorado $97,423 $46.84
Kentucky $97,000 $46.63
Delaware $96,787 $46.53
Nebraska $96,583 $46.43
New Mexico $96,076 $46.19
South Carolina $95,332 $45.83
Maine $94,432 $45.40
Kansas $93,898 $45.14
Oklahoma $92,288 $44.37
Arkansas $92,257 $44.35
Mississippi $92,121 $44.29
Florida $91,894 $44.18
Illinois $90,969 $43.74
Michigan $90,846 $43.68
Missouri $89,902 $43.22
Georgia $89,758 $43.15
Texas $89,363 $42.96
Louisiana $85,244 $40.98
North Carolina $79,881 $38.40
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Source: ZipRecruiter

Geography plays a crucial role in determining compensation. Family Nurse Practitioners who work in the Pacific region of the United States earn significantly higher mean salaries than their peers throughout the rest of the country. The second-highest mean salaries are paid in the center of the country, while the lowest mean salaries are paid to those working in the Southeast.

Highest Paying States for Nurse Practitioners

State Annual Salary Hourly Wage
New York $128,012 $61.54
New Hampshire $119,032 $57.23
Vermont $117,451 $56.47
Arizona $112,005 $53.85
Hawaii $111,911 $53.80

Source: ZipRecruiter

Notably, Family Nurse Practitioners who work in major metropolitan areas command the most competitive salaries, with salary supplemented by generous benefits. The facilities where these FNPs work tend to be in densely populated areas and are often affiliated with academic facilities and teaching hospitals. 

Top Paying Cities for Nurse Practitioners

City Annual Salary Hourly Wage
San Francisco, CA $137,698 $66.20
Fremont, CA $134,305 $64.57
San Jose, CA $129,531 $62.27
San Francisco Bay Area, CA $128,718 $61.88
Oakland, CA $128,559 $61.81
Jackson, WY $128,213 $61.64
New York, NY $128,012 $61.54
Vallejo, CA $125,954 $60.56
Hayward, CA $125,718 $60.44
Seattle, WA $125,605 $60.39

Source: ZipRecruiter

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According to Medscape’s APRN Compensation Report 2020, the annual income that a Nurse Practitioner earns increases steadily with the number of years that they practice. 

  1. 0-5 years of experience -$109,000
  2. 6-10 years of experience –  $119,000
  3. 11-20 years of experience – $128,000

>> Related: Top Family Nurse Practitioner Programs

There are significant differences in how much Family Nurse Practitioners earn in terms of both the practice setting and the region in which they work. 

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The highest salaries are earned by those who provide hospital-based inpatient care. This is followed by hospital-based outpatient care, medical offices or urgent care clinics, then public health settings. 

The lowest average salaries are earned by those working in academic settings as either faculty or researchers. 

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Family Nurse Practitioners’ compensation tends to increase incrementally with experience and shift based on the region of the country where they work or their practice setting. 

Beyond these factors, Family Nurse Practitioners are able to increase their income potential by earning advanced credentials. There are a number of certifications that are appropriate for those working in family practice settings that can make you significantly more valuable and may result in higher compensation. These include:

  1. Family Nurse Practitioner Certification (FNP)
  2. Adult-Gerontology Primary Care Nurse Practitioner Certification (A-GNP)
  3. Advanced Diabetes Management Certification (ADM-BC)
  4. Family Nurse Practitioner Certification (FNP-BC)
  5. Gerontological Nurse Practitioner Certification (GNP-BC)
  6. Pediatric Primary Care Nurse Practitioner Certification (PPCNP-BC)
  7. Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification (PMHNP-BC)
  8. Primary Care Certified Pediatric Nurse Practitioner (CPNP-PC)
  9. Women’s Health Care Nurse Practitioner Certification (WHNP-BC) 

Another option available to Family Nurse Practitioners seeking higher income is to leave their employer to open their own practice or work as independent contractors.

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Enjoying what you do is just as important as your salary. So you should understand FNP duties and responsibilities before making the leap and joining the career field. So, what does a family nurse practitioner do?

Family Nurse Practitioners provide primary care to patients at every stage of life, from the time they are born to the time that they die, and at every stage in between. They assess their patients’ needs, guide preventative care and health education, order and interpret diagnostic tests, diagnose conditions, create treatment plans, perform procedures, and prescribe medications.

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Family Nurse Practitioners see the widest range of patient ages and conditions possible, from newborn to geriatric and from well checkups to chronic and acute care. According to the American Association of Nurse Practitioners, 69.7% percent of all Nurse Practitioners identify themself as Family Nurse Practitioners.  

Much like internists or general practitioners, they can work in a hospital or clinic setting, but most work in private group practices with a top clinical focus on primary care. Because they see patients through every stage of their lives, those who establish a practice within a community form genuine, trusting relationships that enhance both the care they provide and their personal satisfaction with their careers. 

In addition to being a rewarding and highly respected career, working as a Family Nurse Practitioner offers a tremendous level of job security. The national nursing shortage has not abated, and Advanced Practice Registered Nurses who have the broad clinical knowledge that Family Nurse Practitioners do will remain in high demand.

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