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

Physician assistant salary in Nevada

Nevada physician assistants earn a median of $134,660 a year ($64.74 an hour), according to BLS data for May 2025. That is about the same as the national median of $135,880, and ranks 25th of 51 states.

Median, Nevada

$134,660

Mean $135,790

Middle half earns

$117,280 to $163,550

US: $120,670 to $163,980

Employed in Nevada

1,090

0.67x the national concentration

Where Nevada sits in the range

Nevada

Statewide

United States

National

Las Vegas

Metro area

Reno

Metro area

Carson

Metro area

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

Physician assistant pay by percentile

Ten percent of Nevada physician assistants earned less than $60,040 and ten percent earned more than $175,300, a spread of $115,260. 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$60,040$99,380-39.6%
25th$117,280$120,670-2.8%
Median$134,660$135,880-0.9%
75th$163,550$163,980-0.3%
90th$175,300$190,280-7.9%

Physician assistant pay by metro area

BLS published PA pay for 3 metro areas that include part of Nevada. Carson City, NV has the highest median at $135,180. 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 precision650$134,660$127,360 to $162,920
Reno, NVmoderate precision300$134,550$69,390 to $163,550
Carson City, NVmoderate precision50$135,180$120,770 to $170,430

How PA pay compares with other clinicians in Nevada

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

The Nevada PA workforce

BLS counts 1,090 physician assistants on Nevada payrolls, or 0.70 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 1,473 physician assistants with a Nevada practice address, and 52 new PA 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 $117,280, it sits in the bottom quarter of what Nevada physician assistants 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 $163,550, 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 PA pay in Nevada

How much does a PA make in Nevada?

The median annual wage for physician assistants in Nevada was $134,660 in May 2025, and the mean was $135,790, per the BLS. The middle half earned between $117,280 and $163,550.

What is the hourly rate for physician assistants in Nevada?

The median hourly wage was $64.74 and the mean was $65.29. BLS computes hourly figures from annual pay assuming a full-time year, so per-shift or per-diem rates can differ.

Where do PAs earn the most in Nevada?

Among Nevada metro areas with published data, Carson City, NV had the highest median at $135,180, and Reno, NV the lowest at $134,550.

How does Nevada rank for PA pay?

Nevada ranks 25th of 51 states (including DC) by median PA pay, about the same as the national median of $135,880. Pay is only half the picture: compare it with what housing and taxes cost where you would live.

How many physician assistants work in Nevada?

BLS estimated 1,090 physician assistants employed in Nevada in May 2025. The federal NPI registry lists 1,473 with a Nevada practice address.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (bls.gov/oes), SOC 29-1071, 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.