Nurse practitioner salary in Alabama
Alabama nurse practitioners earn a median of $105,750 a year ($50.84 an hour), according to BLS data for May 2025. That is 20% below the national median of $132,300, and ranks 51st of 51 states.
Median, Alabama
$105,750
Mean $110,970
Middle half earns
$97,960 to $123,970
US: $117,990 to $156,700
Employed in Alabama
5,640
1.29x the national concentration
Where Alabama sits in the range
Alabama
Statewide
United States
National
Birmingham
Metro area
Huntsville
Metro area
Mobile
Metro area
Columbus
Metro area
Nurse practitioner pay by percentile
Ten percent of Alabama nurse practitioners earned less than $86,300 and ten percent earned more than $134,650, a spread of $48,350. Where you land depends mostly on specialty, setting, experience and how the productivity pay is built, which is why two offers in the same city can be far apart.
| Percentile | Alabama | United States | Difference |
|---|---|---|---|
| 10th | $86,300 | $101,340 | -14.8% |
| 25th | $97,960 | $117,990 | -17.0% |
| Median | $105,750 | $132,300 | -20.1% |
| 75th | $123,970 | $156,700 | -20.9% |
| 90th | $134,650 | $174,420 | -22.8% |
Nurse practitioner pay by metro area
BLS published NP pay for 13 metro areas that include part of Alabama. Columbus, GA-AL has the highest median at $121,530. Metro estimates rest on smaller samples than the statewide figure, so treat a low-precision row as a direction, not a number.
| Metro area | Employed | Median | Middle half |
|---|---|---|---|
| Birmingham, AL | 1,350 | $107,700 | $101,210 to $126,870 |
| Huntsville, AL | 830 | $103,900 | $100,190 to $123,350 |
| Mobile, AL | 510 | $103,480 | $94,900 to $117,490 |
| Columbus, GA-AL | 370 | $121,530 | $104,200 to $128,000 |
| Montgomery, AL | 330 | $105,050 | $97,000 to $123,610 |
| Tuscaloosa, AL | 300 | $110,460 | $101,770 to $128,940 |
| Dothan, AL | 260 | $105,730 | $94,530 to $127,600 |
| Florence-Muscle Shoals, ALmoderate precision | 220 | $101,040 | $94,240 to $115,700 |
| Auburn-Opelika, AL | 180 | $108,500 | $95,620 to $123,290 |
| Gadsden, AL | 130 | $103,700 | $92,620 to $119,050 |
| Decatur, AL | 120 | $107,760 | $102,010 to $122,220 |
| Anniston-Oxford, AL | 100 | $101,220 | $96,130 to $123,590 |
| Daphne-Fairhope-Foley, AL | not published | $104,410 | $95,060 to $121,730 |
How NP pay compares with other clinicians in Alabama
| Occupation | Alabama | United States |
|---|---|---|
| Nurse practitioner | $105,750 | $132,300 |
| Physician assistant | $104,960 | $135,880 |
| Nurse anesthetist (CRNA) | $190,300 | $236,590 |
| Registered nurse | $77,080 | $97,550 |
The Alabama NP workforce
BLS counts 5,640 nurse practitioners on Alabama payrolls, or 2.67 for every 1,000 jobs in the state, more concentrated than in the country as a whole. The federal NPI registry, which also counts self-employed and part-time clinicians, lists 8,159 nurse practitioners with a Alabama practice address, and 346 new NP NPIs there in the past twelve months.
Using these numbers when you negotiate
A state median is a reference point, not a target. If an offer comes in under $97,960, it sits in the bottom quarter of what Alabama nurse practitioners earn, and you should know why before you sign: a new-grad rate, a light schedule, or a base kept low because a productivity bonus is supposed to make up the difference. If it is above $123,970, ask what is expected in return, such as call, volume targets or a longer non-compete.
Compare the whole package, not the base: how the bonus is calculated, call pay, CME, PTO and who pays malpractice tail coverage. The negotiation guide and the contract checklist walk through each term.
Questions about NP pay in Alabama
How much does a NP make in Alabama?
The median annual wage for nurse practitioners in Alabama was $105,750 in May 2025, and the mean was $110,970, per the BLS. The middle half earned between $97,960 and $123,970.
What is the hourly rate for nurse practitioners in Alabama?
The median hourly wage was $50.84 and the mean was $53.35. BLS computes hourly figures from annual pay assuming a full-time year, so per-shift or per-diem rates can differ.
Where do NPs earn the most in Alabama?
Among Alabama metro areas with published data, Columbus, GA-AL had the highest median at $121,530, and Florence-Muscle Shoals, AL the lowest at $101,040.
How does Alabama rank for NP pay?
Alabama ranks 51st of 51 states (including DC) by median NP pay, 20% below the national median of $132,300. Pay is only half the picture: compare it with what housing and taxes cost where you would live.
How many nurse practitioners work in Alabama?
BLS estimated 5,640 nurse practitioners employed in Alabama in May 2025. The federal NPI registry lists 8,159 with a Alabama practice address.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (bls.gov/oes), SOC 29-1171, all industries and ownerships. NPI counts: NPPES monthly file, August 2026 (CMS, public domain). BLS wages are straight-time pay: they include production bonuses but leave out overtime, shift differentials, non-production bonuses and benefits, and they exclude the self-employed.
Have an offer on the table?
Book a free intro call with Max. Tell him what you are weighing, and he will tell you whether coaching would help, or whether you just need a few answers.