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Max Mello, PA-CCareer coaching for PAs, NPs and CRNAs

Nurse practitioner salary in Nevada

Nevada nurse practitioners earn a median of $140,670 a year ($67.63 an hour), according to BLS data for May 2025. That is 6% above the national median of $132,300, and ranks 8th of 51 states.

Median, Nevada

$140,670

Mean $137,410

Middle half earns

$110,160 to $161,760

US: $117,990 to $156,700

Employed in Nevada

1,930

0.60x the national concentration

Where Nevada sits in the range

Nevada

Statewide

United States

National

Las Vegas

Metro area

Reno

Metro area

Line: 10th to 90th percentile. Bar: 25th to 75th. Tick: median. Annual wages, BLS OEWS, May 2025.

Nurse practitioner pay by percentile

Ten percent of Nevada nurse practitioners earned less than $85,380 and ten percent earned more than $172,170, a spread of $86,790. 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.

Annual wages, BLS OEWS, May 2025
PercentileNevadaUnited StatesDifference
10th$85,380$101,340-15.7%
25th$110,160$117,990-6.6%
Median$140,670$132,300+6.3%
75th$161,760$156,700+3.2%
90th$172,170$174,420-1.3%

Nurse practitioner pay by metro area

BLS published NP pay for 2 metro areas that include part of Nevada. Las Vegas-Henderson-North Las Vegas, NV has the highest median at $144,060. Metro estimates rest on smaller samples than the statewide figure, so treat a low-precision row as a direction, not a number.

Annual wages, BLS OEWS, May 2025
Metro areaEmployedMedianMiddle half
Las Vegas-Henderson-North Las Vegas, NVmoderate precision1,390$144,060$110,190 to $162,350
Reno, NVmoderate precision420$137,360$110,070 to $153,420

How NP pay compares with other clinicians in Nevada

Median annual wage, BLS OEWS, May 2025
OccupationNevadaUnited States
Nurse practitioner$140,670$132,300
Physician assistant$134,660$135,880
Nurse anesthetist (CRNA)not published$236,590
Registered nurse$103,670$97,550

The Nevada NP workforce

BLS counts 1,930 nurse practitioners on Nevada payrolls, or 1.24 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 3,931 nurse practitioners with a Nevada practice address, and 304 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 $110,160, it sits in the bottom quarter of what Nevada 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 $161,760, 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 Nevada

How much does a NP make in Nevada?

The median annual wage for nurse practitioners in Nevada was $140,670 in May 2025, and the mean was $137,410, per the BLS. The middle half earned between $110,160 and $161,760.

What is the hourly rate for nurse practitioners in Nevada?

The median hourly wage was $67.63 and the mean was $66.06. 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 Nevada?

Among Nevada metro areas with published data, Las Vegas-Henderson-North Las Vegas, NV had the highest median at $144,060, and Reno, NV the lowest at $137,360.

How does Nevada rank for NP pay?

Nevada ranks 8th of 51 states (including DC) by median NP pay, 6% 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 Nevada?

BLS estimated 1,930 nurse practitioners employed in Nevada in May 2025. The federal NPI registry lists 3,931 with a Nevada 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.