Entry-Level Nurse Practitioner Salary in Richmond, VA: $100,057 (2026)
Quick Answer:New nurse practitioners entering the Richmond, VA job market in 2026 can expect a starting salary around $100,057 (BLS 10th-percentile benchmark for SOC 29-1171, projected from 2025 OEWS data). Stripping out Richmond's local price level (BEA RPP 97.9 — 2% below national), a first-year paycheck buys what $102,247 would in average-cost America. Most reach the city median ($132,230) within a few years of clinical practice.
Official BLS data · View source

In 2026, new graduates looking to enter the nurse practitioner workforce in Richmond, Virginia can anticipate an entry-level salary starting at around $100,057. This figure, while promising, reflects a significant gap when contrasted with the city’s median annual salary of $132,230. Over the first few years of practice, early-career nurse practitioners can expect their compensation to gradually increase, moving from the 10th percentile to the 25th percentile with salaries reaching $111,550. Richmond, with a growing healthcare sector and a cost of living index below the national average, presents an attractive job market for new grad nurse practitioners eager to embark on their careers.
Career Earnings Timeline in Richmond
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Richmond
Entry-level nurse practitioners in Richmond, VA typically start between $100,057 and $111,550 per year (2026 est.). The full salary range spans $52,646 from the 10th to 90th percentile, with the local median at $132,230 — 3.39% below the national median.
Return on Investment
The average advanced practice nursing program cost in Virginia of $90,000 represents just 89.95% of the starting nurse practitioner pay ($100,057/year) in Richmond. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on CCNE- and ACEN-accredited graduate nursing programs. Tuition varies significantly between public in-state MSN programs and private DNP programs, and often requires completed BSN coursework as a prerequisite.
NP Salary Negotiation Tips for New Graduates in Richmond
- 1Research the Richmond market: entry-level nurse practitioner pay ranges from $100,057 to $111,550, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the advanced practice nursing field — employers in VA often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Richmond, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in Richmond for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Richmond's moderate cost of living means your starting salary goes further here compared to many larger metro areas.
Nurse Practitioner Compensation Range
The nurse practitioner wage spread in Richmond is $52,646 ( 52.62%) between entry-level and top earners. Starting at $100,057, experienced hygienists can earn up to $152,703.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$84,130
2025 BLS Actual
$96,720
2026 Current Est.
$100,057
2019–2027 Growth
+23.0%
Salary Trajectory for Nurse Practitioners in Richmond (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $84,130 | Actual |
| 2020 | $80,180 | Actual |
| 2021 | $87,360 | Actual |
| 2022 | $95,300 | Actual |
| 2023 | $102,990 | Actual |
| 2024 | $89,760 | Actual |
| 2025 | $96,720 | Actual |
| 2026(current) | $100,057 | Estimated |
| 2027 | $103,509 | Projected |
Entry-level nurse practitioner compensation (10th percentile) in Richmond, VA grew 15.0% over 7 years based on actual BLS metropolitan area surveys, rising from $84,130 in 2019 to $96,720 in 2025. By 2027, starting salaries are projected to reach $103,509. New graduates entering the Richmond job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Richmond metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.45% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Starting Your advanced practice nursing Career in Richmond
Primary employers in Richmond that seek out new graduate nurse practitioners include primary care offices and urgent care chains that often implement structured onboarding programs. Larger hospital systems also provide valuable opportunities through NP residency and fellowship programs, especially for family nurse practitioners (FNPs). For those specializing in psychiatric mental health (PMHNPs), telehealth platforms present another avenue for entry-level employment. Boosting starting pay will depend on obtaining an active RN license, a Master’s or Doctorate from an accredited institution, and certification from organizations such as AANP or ANCC. In a state where the scope of practice varies significantly, understanding the role of full-practice authority could shape your career. Furthermore, new graduates should realistically anticipate gradual salary growth as they enhance their skills and certifications over the first few years in this expanding market.
More salary data for Richmond, VA:
Frequently Asked Questions
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Is advanced practice nursing school worth it in Richmond?
What do new nurse practitioners make right out of school in Richmond?
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Related Pages
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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.
Methodology & Data Source
Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new advanced practice nursing graduates. A 3.45% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Richmond. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.45%, derived from historical BLS wage trends for nurse practitioners (SOC 29-1171).
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