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How Nurse Practitioner Salaries and Employment Compare by State and Specialty Location, location, location: Your state determines your salary we have chosen several references to show you the avg NP Salary 2017 see below for a list of the references. As with any profession, your location plays a large part in determining your yearly salary. According to the U.S. Bureau of Labor Statistics, the mean salary is $104,610 across the country and the highest average salary is in California--$124,330. Other top earning states are Alaska ($121,250), Massachusetts ($117, 860), Hawaii ($117,180), and New Jersey ($115,230)¹. One must consider the cost of living in each state to determine which state pays the most in relation to how much it costs to live there. Most nurse practitioners are employed in doctor’s offices, but hospital jobs pay better. The lowest paying states include Missouri, Arkansas, Oklahoma, Tennessee, Montana, Alabama, Tennessee, South Carolina, and Pennsylvania, according to the Bureau of Labor Statistics. However, many of these states have significantly lower costs of living than the highest paying states, so it’s possible the pay is relative. Specializing: Responsibilities and Income Potential NP Private Practice Income The most popular nurse practitioner specialty is the family medicine nurse practitioner. These nurse practitioners work primarily in clinics and medical offices to provide primary healthcare and preventative medicine across the lifespan. Their focus is generally on the well-adult population but can provide general care to most patients with an annual average salary of $89,043 according to payscale.com. The preparatory program is a two year masters degree. Pediatric nurse practitioners care for children in clinics and medical offices as well as in hospitals. Their mean salary according to payscale.com is $85,000. Pediatric nursing experience is recommended for application to the MSN program. Primary healthcare and preventative medicine is also the pediatric nurse practitioner’s forte, providing health education to parents as children grow and develop. Neonatal nurse practitioners generally work in neonatal intensive care units across the country. Depending on the level of the NICU, they work alongside physicians to assess, diagnose, and treat complex medical conditions of critically ill newborns. Their average salary according to payscale.com is $94,616. Autonomy of these professionals depends on the state and the hospital in which they practice. Women’s health nurse practitioners work in obstetrician/gynecologist offices to provide well-women exams, family planning, and reproductive counseling. According to Payscale.com, the median pay for WHNP is $85,730 Who makes the most? Top paying specialties Certified registered nurse anesthetists, or CRNAs, are the highest paying nursing specialty. While collaborating with anesthesiologists, they put patients under anesthesia during procedures in hospitals, outpatient surgery centers, dentist offices, and others. According to a Payscale.com report in May 2016, their average salary was $164,030. The CRNA program is one of the most competitive to enter with an extremely rigorous application process; several years of experience as a nurse in adult and pediatric ICUs are required. It is generally a full-time program and too demanding to work while in the program. Gerontological nurse practitioners work specifically with the elderly. Providing healthcare to the elderly is uniquely challenging and requires special knowledge and training. Payscale.com lists their average salary at around $95,990. Due to the aging of the largest generation our country has seen, a career as a gerontological nurse practitioner has fantastic prospects. Acute care nurse practitioners provide care in the hospital setting in critical care units such as intensive care and stepdown units. Years of experience as a registered nurse in critical care units are recommended for matriculation to the two year masters program. On average, acute care nurse practitioners according to payscale.com bring home around $97,000. They are an integral part of the medical team managing care alongside medical residents and other physicians for acutely ill patients. Psychiatric nurse practitioners are another high-paying specialty. They work in psychiatric hospitals and general medicine hospitals to provide mental health care to patients both in and out of the hospital. Reimbursement averages per payscal.com is $97,800 for their work. As with many nurse practitioner programs, nurses can earn their psychiatric nurse practitioner MSN online. Visit our Scholarships page: http://nursejournal.org/articles/nurs... Find your Nursing Program! http://nursejournal.org/school-listin... Watch our last video going over NP vs. PA: • NP vs PA