Nurse practitioner salary in Virginia
Virginia nurse practitioners earn a median of $127,810 a year ($61.45 an hour), according to BLS data for May 2025. That is 3% below the national median of $132,300, and ranks 41st of 51 states.
Median, Virginia
$127,810
Mean $129,060
Middle half earns
$109,180 to $139,500
US: $117,990 to $156,700
Employed in Virginia
7,110
0.83x the national concentration
Where Virginia sits in the range
Virginia
Statewide
United States
National
Washington
Metro area
Richmond
Metro area
Virginia Beach
Metro area
Charlottesville
Metro area
Nurse practitioner pay by percentile
Ten percent of Virginia nurse practitioners earned less than $99,990 and ten percent earned more than $161,470, a spread of $61,480. 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 | Virginia | United States | Difference |
|---|---|---|---|
| 10th | $99,990 | $101,340 | -1.3% |
| 25th | $109,180 | $117,990 | -7.5% |
| Median | $127,810 | $132,300 | -3.4% |
| 75th | $139,500 | $156,700 | -11.0% |
| 90th | $161,470 | $174,420 | -7.4% |
Nurse practitioner pay by metro area
BLS published NP pay for 11 metro areas that include part of Virginia. Charlottesville, VA has the highest median at $142,950. 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 |
|---|---|---|---|
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 4,050 | $134,840 | $119,660 to $158,660 |
| Richmond, VA | 1,440 | $127,820 | $107,830 to $135,410 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 1,300 | $124,530 | $106,220 to $132,980 |
| Charlottesville, VA | 480 | $142,950 | $123,520 to $162,010 |
| Kingsport-Bristol, TN-VA | 480 | $118,470 | $101,450 to $128,010 |
| Roanoke, VA | 440 | $134,920 | $115,270 to $134,920 |
| Lynchburg, VA | 250 | $120,710 | $103,550 to $129,710 |
| Winchester, VA-WV | 160 | $130,700 | $124,520 to $135,050 |
| Blacksburg-Christiansburg-Radford, VAmoderate precision | 110 | $124,800 | $107,640 to $134,400 |
| Staunton-Stuarts Draft, VA | 100 | $125,710 | $105,880 to $142,870 |
| Harrisonburg, VA | 90 | $122,340 | $104,120 to $132,880 |
How NP pay compares with other clinicians in Virginia
| Occupation | Virginia | United States |
|---|---|---|
| Nurse practitioner | $127,810 | $132,300 |
| Physician assistant | $135,940 | $135,880 |
| Nurse anesthetist (CRNA) | $252,110 | $236,590 |
| Registered nurse | $93,600 | $97,550 |
The Virginia NP workforce
BLS counts 7,110 nurse practitioners on Virginia payrolls, or 1.73 for every 1,000 jobs in the state, close to the national concentration. The federal NPI registry, which also counts self-employed and part-time clinicians, lists 11,700 nurse practitioners with a Virginia practice address, and 613 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 $109,180, it sits in the bottom quarter of what Virginia 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 $139,500, 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 Virginia
How much does a NP make in Virginia?
The median annual wage for nurse practitioners in Virginia was $127,810 in May 2025, and the mean was $129,060, per the BLS. The middle half earned between $109,180 and $139,500.
What is the hourly rate for nurse practitioners in Virginia?
The median hourly wage was $61.45 and the mean was $62.05. 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 Virginia?
Among Virginia metro areas with published data, Charlottesville, VA had the highest median at $142,950, and Kingsport-Bristol, TN-VA the lowest at $118,470.
How does Virginia rank for NP pay?
Virginia ranks 41st of 51 states (including DC) by median NP pay, 3% 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 Virginia?
BLS estimated 7,110 nurse practitioners employed in Virginia in May 2025. The federal NPI registry lists 11,700 with a Virginia 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.