Nurse practitioner salary in West Virginia
West Virginia nurse practitioners earn a median of $127,320 a year ($61.21 an hour), according to BLS data for May 2025. That is 4% below the national median of $132,300, and ranks 42nd of 51 states.
Median, West Virginia
$127,320
Mean $126,780
Middle half earns
$108,520 to $133,220
US: $117,990 to $156,700
Employed in West Virginia
2,550
1.75x the national concentration
Where West Virginia sits in the range
West Virginia
Statewide
United States
National
Washington
Metro area
Huntington
Metro area
Charleston
Metro area
Hagerstown
Metro area
Nurse practitioner pay by percentile
Ten percent of West Virginia nurse practitioners earned less than $100,220 and ten percent earned more than $155,500, a spread of $55,280. 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 | West Virginia | United States | Difference |
|---|---|---|---|
| 10th | $100,220 | $101,340 | -1.1% |
| 25th | $108,520 | $117,990 | -8.0% |
| Median | $127,320 | $132,300 | -3.8% |
| 75th | $133,220 | $156,700 | -15.0% |
| 90th | $155,500 | $174,420 | -10.8% |
Nurse practitioner pay by metro area
BLS published NP pay for 10 metro areas that include part of West Virginia. Washington-Arlington-Alexandria, DC-VA-MD-WV has the highest median at $134,840. 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 |
| Huntington-Ashland, WV-KY-OH | 570 | $125,780 | $107,820 to $132,580 |
| Charleston, WV | 370 | $129,260 | $116,260 to $134,320 |
| Hagerstown-Martinsburg, MD-WV | 360 | $126,240 | $97,090 to $138,320 |
| Morgantown, WV | 300 | $128,130 | $108,680 to $131,130 |
| Beckley, WV | 200 | $124,790 | $105,400 to $131,780 |
| Parkersburg-Vienna, WV | 170 | $126,550 | $106,520 to $131,250 |
| Winchester, VA-WV | 160 | $130,700 | $124,520 to $135,050 |
| Wheeling, WV-OH | 150 | $128,640 | $106,240 to $135,290 |
| Weirton-Steubenville, WV-OH | 120 | $117,400 | $103,660 to $129,670 |
How NP pay compares with other clinicians in West Virginia
| Occupation | West Virginia | United States |
|---|---|---|
| Nurse practitioner | $127,320 | $132,300 |
| Physician assistant | $128,610 | $135,880 |
| Nurse anesthetist (CRNA) | $278,530 | $236,590 |
| Registered nurse | $80,130 | $97,550 |
The West Virginia NP workforce
BLS counts 2,550 nurse practitioners on West Virginia payrolls, or 3.63 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 3,041 nurse practitioners with a West Virginia practice address, and 183 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 $108,520, it sits in the bottom quarter of what West 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 $133,220, 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 West Virginia
How much does a NP make in West Virginia?
The median annual wage for nurse practitioners in West Virginia was $127,320 in May 2025, and the mean was $126,780, per the BLS. The middle half earned between $108,520 and $133,220.
What is the hourly rate for nurse practitioners in West Virginia?
The median hourly wage was $61.21 and the mean was $60.95. 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 West Virginia?
Among West Virginia metro areas with published data, Washington-Arlington-Alexandria, DC-VA-MD-WV had the highest median at $134,840, and Weirton-Steubenville, WV-OH the lowest at $117,400.
How does West Virginia rank for NP pay?
West Virginia ranks 42nd of 51 states (including DC) by median NP pay, 4% 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 West Virginia?
BLS estimated 2,550 nurse practitioners employed in West Virginia in May 2025. The federal NPI registry lists 3,041 with a West 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.