Nurse Practitioner Pay

Middletown vs New York: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Middletown, NY and New York, NY. All figures are 2026 estimates projected from BLS 2025 data.

Middletown, NY
$135,775
$65.28/hr
New York, NY
$168,975
$81.24/hr

Side-by-Side Comparison

MetricMiddletown, NYNew York, NY
Median Salary$135,775$168,975
Hourly Rate$65.28$81.24
Entry Level (P10)$112,531$137,061
25th Percentile$122,822$147,582
75th Percentile$160,548$179,889
Top Earner (P90)$176,213$209,941
Total Employed721,680
Side-by-side bar chart comparing Middletown ($135,775) and New York ($168,975) nurse practitioner salaries.MiddletownNew YorkMedian Salary$135,775$168,975Entry Level (P10)$112,531$137,061Top Earner (P90)$176,213$209,941US Median $136,864

Verdict

New York, NY offers better overall compensation for nurse practitioners, winning 4 out of 4 metrics compared to Middletown.

The salary gap between Middletown and New York is $33,200 (24.45%). New York's median is +23.46% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Middletown spans $63,682,New York spans $72,880. New York has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Middletown
P10 (Entry)$112,531
P25$122,822
Median$135,775
P75$160,548
P90 (Top)$176,213
New York
P10 (Entry)$137,061
P25$147,582
Median$168,975
P75$179,889
P90 (Top)$209,941

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, New York ($150,116 effective) pays 28.14% more than Middletown ($117,148 effective).

Middletown
Nominal: $135,775
CoL Index: 115.9
Adjusted: $117,148
New York
Nominal: $168,975
CoL Index: 112.563
Adjusted: $150,116

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Middletown if…

  • You prefer the New York area and lifestyle

Choose New York if…

  • Higher median salary ($168,975/year)
  • Better top-earner potential ($209,941)
  • Larger job market (21,680 employed)
  • Better purchasing power (CoL-adjusted: $150,116)
  • You prefer the New York area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Middletown grew -19.2% from 2024 to 2025, compared to 31.5% growth in New York over the same period.

Middletown, NY

+-19.2%

$162,433 (2024) → $131,247 (2025)

New York, NY

+31.5%

$124,190 (2019) → $163,340 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Middletown or New York?

New York has a higher median nurse practitioner salary at $168,975/year, compared to Middletown at $135,775/year — a difference of $33,200 (24.45%).

What is the hourly rate difference between Middletown and New York?

Middletown nurse practitioners earn $65.28/hr while New York hygienists earn $81.24/hr (2026 est.).

Should I relocate from Middletown to New York as a nurse practitioner?

Consider more than just salary when comparing Middletown and New York. Factor in cost of living (CoL-adjusted: Middletown = $117,148, New York = $150,116), job availability (7 vs 21,680 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Middletown vs New York?

Entry-level (10th percentile) nurse practitioners earn $112,531 in Middletown and $137,061 in New York. The New York area offers higher starting salaries.

Related Comparisons

MG

Written by Maria Gonzalez, MSN, NP-C

Career Analyst

Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov