Nurse practitioner salary in Hawaii
Hawaii nurse practitioners earn a median of $135,570 a year ($65.18 an hour), according to BLS data for May 2025. That is 2% above the national median of $132,300, and ranks 15th of 51 states.
Median, Hawaii
$135,570
Mean $142,910
Middle half earns
$124,530 to $165,810
US: $117,990 to $156,700
Employed in Hawaii
550
0.43x the national concentration
Where Hawaii sits in the range
Hawaii
Statewide
United States
National
Urban Honolulu
Metro area
Kahului
Metro area
Nurse practitioner pay by percentile
Ten percent of Hawaii nurse practitioners earned less than $106,450 and ten percent earned more than $174,350, a spread of $67,900. 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 | Hawaii | United States | Difference |
|---|---|---|---|
| 10th | $106,450 | $101,340 | +5.0% |
| 25th | $124,530 | $117,990 | +5.5% |
| Median | $135,570 | $132,300 | +2.5% |
| 75th | $165,810 | $156,700 | +5.8% |
| 90th | $174,350 | $174,420 | -0.0% |
Nurse practitioner pay by metro area
BLS published NP pay for 2 metro areas that include part of Hawaii. Kahului-Wailuku, HI has the highest median at $164,210. 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 |
|---|---|---|---|
| Urban Honolulu, HImoderate precision | 400 | $135,570 | $124,530 to $164,780 |
| Kahului-Wailuku, HI | 60 | $164,210 | $134,610 to $182,980 |
How NP pay compares with other clinicians in Hawaii
| Occupation | Hawaii | United States |
|---|---|---|
| Nurse practitioner | $135,570 | $132,300 |
| Physician assistant | $164,050 | $135,880 |
| Nurse anesthetist (CRNA) | not published | $236,590 |
| Registered nurse | $136,320 | $97,550 |
The Hawaii NP workforce
BLS counts 550 nurse practitioners on Hawaii payrolls, or 0.88 for every 1,000 jobs in the state, less concentrated than in the country as a whole. The federal NPI registry, which also counts self-employed and part-time clinicians, lists 1,319 nurse practitioners with a Hawaii practice address, and 68 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 $124,530, it sits in the bottom quarter of what Hawaii 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 $165,810, 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 Hawaii
How much does a NP make in Hawaii?
The median annual wage for nurse practitioners in Hawaii was $135,570 in May 2025, and the mean was $142,910, per the BLS. The middle half earned between $124,530 and $165,810.
What is the hourly rate for nurse practitioners in Hawaii?
The median hourly wage was $65.18 and the mean was $68.71. 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 Hawaii?
Among Hawaii metro areas with published data, Kahului-Wailuku, HI had the highest median at $164,210, and Urban Honolulu, HI the lowest at $135,570.
How does Hawaii rank for NP pay?
Hawaii ranks 15th of 51 states (including DC) by median NP pay, 2% above 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 Hawaii?
BLS estimated 550 nurse practitioners employed in Hawaii in May 2025. The federal NPI registry lists 1,319 with a Hawaii 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.