LIVE MARKET·5,149 POSTINGS · LAST 12 MONTHS

Advanced Practice Provider salaries: $72.50/hr median.

Advanced practice nursing roles — Nurse Practitioners, CRNAs, Clinical Nurse Specialists, and Certified Nurse Midwives — who provide graduate-level clinical care.

Showing 60 titles (36 with pay data) across 10 tracks and 48 states. Latest data as of April 30, 2026.

Titles
60
36 with data
Postings
5,149
4,001 unique
Median /hr
$72.50
$150,800/yr
Tracks
10
48 states
04·WHERE ADVANCED PRACTICE PROVIDER PAYS·LAST 12 MONTHS

Advanced Practice Provider pay across every state with live data.

01Alabama16 postings
$65.00/hr
02Alaska31 postings
$85.95/hr
03Arizona92 postings
$68.00/hr
04Arkansas23 postings
$67.50/hr
05California1,024 postings
$85.00/hr
06Colorado175 postings
$67.50/hr
07Connecticut86 postings
$65.50/hr
08District of Columbia14 postings
$65.00/hr
09Florida120 postings
$60.00/hr
10Georgia82 postings
$62.50/hr
11Hawaii9 postings
$80.00/hr
12Idaho13 postings
$77.50/hr
13Illinois445 postings
$69.00/hr
14Indiana56 postings
$65.50/hr
15Iowa43 postings
$60.00/hr
16Kansas19 postings
$72.50/hr
17Kentucky13 postings
$132.00/hr
18Louisiana11 postings
$60.00/hr
19Maine13 postings
$80.00/hr
20Maryland218 postings
$69.50/hr
21Massachusetts186 postings
$75.99/hr
22Michigan46 postings
$64.50/hr
23Minnesota117 postings
$72.08/hr
24Mississippi10 postings
$58.50/hr
25Missouri33 postings
$70.00/hr
26Montana7 postings
$71.50/hr
27Nebraska40 postings
$79.50/hr
28Nevada32 postings
$73.50/hr
29New Hampshire10 postings
$70.75/hr
30New Jersey163 postings
$75.00/hr
31New Mexico27 postings
$70.00/hr
32New York567 postings
$79.00/hr
33North Carolina205 postings
$70.00/hr
34North Dakota9 postings
$50.40/hr
35Ohio72 postings
$65.45/hr
36Oklahoma35 postings
$72.50/hr
37Oregon46 postings
$74.22/hr
38Pennsylvania168 postings
$65.00/hr
39Rhode Island18 postings
$69.00/hr
40South Carolina37 postings
$62.50/hr
41Tennessee24 postings
$57.50/hr
42Texas250 postings
$65.50/hr
43Utah25 postings
$71.50/hr
44Vermont21 postings
$75.50/hr
45Virginia86 postings
$70.00/hr
46Washington187 postings
$73.50/hr
47West Virginia9 postings
$66.00/hr
48Wisconsin133 postings
$68.00/hr

Showing all 48 states with live data. Bars scale to the highest-paying state.

CITY PAY DATA

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05·HOW TO BECOME·CAREER PATHWAY

How to become a Advanced Practice Provider.

Advanced Practice Providers — Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, and Certified Nurse Midwives — diagnose, treat, prescribe, and coordinate care under their own license. APPs sit between RN-level bedside care and physician-level decision authority, with scope of practice that varies by state. The two dominant paths are the APRN route (NP / CNS / CRNA / CNM, built on an RN license) and the PA route (a separate medical-model master's program).

Education·Min: Master's degree · Preferred: Master's or Doctorate (MSN, DNP, MMS, MSPAS)

APRNs (NP, CNS, CRNA, CNM) start with a BSN and RN license, complete a graduate program in their chosen population focus, and pass the national certification exam (e.g. AANP/ANCC for NPs). PAs come through a separate medical-model master's program with no nursing prerequisite, then pass the PANCE. Both routes require state APP licensure / authorization to practice; collaboration and supervision rules vary widely by state.

DegreeDurationNotes
Master of Science in Nursing (MSN-NP)MSN2-3 years post-BSNStandard entry to Nurse Practitioner practice. Tracks include FNP, AGNP (primary or acute), PMHNP, PNP, NNP, and Women's Health NP.
Doctor of Nursing PracticeDNP3-4 years post-BSNTerminal practice degree for APRNs. Increasingly the entry-level requirement for some specialties (CRNA programs are doctoral-only as of 2025).
Physician Assistant Master'sMPAS / MMS / MSPAS27 months full-timeMedical-model program covering didactic plus 2,000+ supervised clinical hours across core rotations (IM, surgery, EM, peds, OB, behavioral health, family medicine).
Post-master's certificateCert1-2 yearsAdds a new APRN specialty (e.g. PMHNP) on top of an existing master's. Common for FNPs who want to add an acute-care or psych population focus.
Licenses & Exams·4 credentials
State APRN authorizationAdvanced Practice Registered Nurse license / authorityRequired
Issued by: State Board of Nursing

Required for NPs, CNSes, CRNAs, and CNMs. Built on top of the underlying RN license. Some states grant full practice authority; others require physician collaboration.

State PA licensePhysician Assistant licenseRequired
Issued by: State medical or PA board

Required for PAs in every state. Eligibility requires PANCE certification and graduation from an ARC-PA accredited program.

DEA registrationDEA prescriber numberOptional
Issued by: US Drug Enforcement Administration

Required to prescribe controlled substances. Almost universally required in practice for full-scope outpatient roles.

BLS / ACLSBasic / Advanced Life SupportRequired
Issued by: American Heart Association

Required for nearly all APP roles; PALS is required for pediatric specialties.

Optional Certifications·Pay boost where known
CredentialIssued byPay impact
AANP / ANCC NP certification
National NP board certification (population-focused)
Population-focused certification (FNP, AGNP, PMHNP, PNP, etc.) is the bridge from graduation to state APRN licensure. Not optional.
AANP or ANCCEntry requirement
PANCE / PANRE
Physician Assistant National Certifying Exam
PANCE is the post-graduation entry exam; PANRE recertifies every 10 years. Standard requirement for PA state licensure.
NCCPAEntry requirement
Specialty CAQ / sub-specialty
Certificate of Added Qualifications (PAs) or specialty certification (NPs)
Surgical, EM, cardiology, hospital medicine, psychiatry — both PAs and NPs can add formal specialty credentials. Often required for procedure-heavy roles.
NCCPA / specialty boards+5-15%
Career Path·5 steps
  1. 0-1 years
    New-grad APP / Fellowship

    Newly licensed NP or PA. Many systems run formal post-graduate fellowships (EM, hospitalist, surgery, primary care) for structured onboarding.

  2. 1-4 years
    Staff APP

    Independent clinical caseload within specialty. Builds procedural skill and patient panel.

  3. 4-8 years
    Senior / specialty APP

    Holds specialty CAQ or sub-specialty certification. Often a clinical preceptor for new-grad APPs and physician residents.

  4. 8+ years
    Lead APP

    Oversees APP scheduling, hiring, and protocols for a service line. Partners with the medical director on quality and throughput metrics.

  5. 12+ years
    Director of APPs / Chief APP

    System-level leadership over the APP workforce. Owns scope-of-practice strategy, credentialing, and APP-physician collaboration models. Often holds a doctorate (DNP or DMS).

Work Environment
Primary care and family medicineHospital medicine and inpatient servicesEmergency departmentsSpecialty clinics (cardiology, oncology, ortho, etc.)Surgical first-assistPsychiatric and behavioral healthUrgent care and retail clinicsTelehealth

Schedule. Outpatient APPs run business hours with limited call. Hospital and ER APPs typically work 12-hour shifts including nights, weekends, and holidays. Surgical APPs may take significant first-assist call.

Physical demands. Largely moderate — clinic-based roles involve frequent standing and EHR work; procedure-heavy specialties (surgery, EM, cardiology) add patient positioning, suturing, and longer stretches on your feet.

Job Outlook·Very Strong
+27-38% (2022-2032)

Nurse Practitioners and Physician Assistants are projected to be among the fastest-growing US occupations of the decade. Demand is driven by physician shortages (especially in primary care and rural areas), expanding scope-of-practice laws, and the shift of routine specialty care from physicians to APPs.

FAQ — Becoming this role·3 questions
NP vs PA — what's the difference?

Educationally: NPs come through nursing (RN → BSN → MSN/DNP, with a population focus); PAs come through a medical-model master's with no prior nursing experience required. Practice-wise the day-to-day is highly similar in most outpatient settings, though state laws differ: many states grant NPs full practice authority, while PAs almost always practice under a collaboration agreement with a physician. Choose the path that matches the educational pipeline you're already on.

How long does it take to become an APP?

PA: ~6 years total (4 years bachelor's + 27 months PA school + PANCE). NP: 6-8 years (BSN + 1-2 years RN experience + 2-3 years for MSN, or 3-4 for DNP). CRNA: 7-9 years (BSN + ICU experience + 3-year doctoral program).

Can NPs and PAs prescribe controlled substances?

Yes, both can register with the DEA and prescribe Schedule II-V medications, subject to state-level restrictions. A small number of states still limit some controlled-substance prescribing for NPs in restricted-practice jurisdictions.