Nurse Practitioner Hourly Pay in Fresno, CA: $82.84 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Fresno, CA runs $82.84 at the median for 2026 — annualizing to $172,317 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Fresno's regional price level (BEA RPP 102.2, 2% above national), each hour of work buys what $81.09 nationally would. A 24-hour part-time schedule grosses $103,388 per year.
Official BLS data · View source

For nurse practitioners in Fresno, California, the projected hourly pay sits at $82.84, notably surpassing the national hourly median of $65.80. This disparity indicates a robust earning potential for professionals working across various healthcare environments, including primary care clinics, outpatient facilities, urgent care locations, and telehealth platforms. With an hourly range extending from $64.31 for entry-level positions to $105.60 for experienced top earners, the nursing workforce can find diverse opportunities to fit their scheduling needs. Many nurse practitioners may opt for part-time roles or per-diem positions, allowing flexibility while still securing a competitive wage based on official Bureau of Labor Statistics data projected for 2026.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $64.31 | $514.52 |
| Lower Range (P25) | $69.08 | $552.67 |
| Median (P50) | $82.84 | $662.74 |
| Upper Range (P75) | $95.13 | $761.06 |
| Top Earners (P90) | $105.60 | $844.81 |
Estimated Annual Income by Work Schedule in Fresno
Based on $82.84/hr median hourly rate · 2026 est.
At $82.84/hr, a nurse practitioner working full-time (40 hr/wk) in Fresno, CA can expect to earn approximately $172,313 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $99,411. With a cost-of-living index of 102.16 (above the national average), these earnings may be offset by higher expenses in Fresno.
Hourly Rate Calculator
Schedule Comparison in Fresno
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $3,313.71 | $14,359 | $172,313 |
| Part-Time (24 hrs) | $1,988.23 | $8,616 | $103,388 |
| Per Diem (16 hrs) | $1,325.48 | $5,744 | $68,925 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Fresno) | $82.84 |
| Registered Nurse (National Avg) | $42.80 |
| Physician Assistant (National Avg) | $63.20 |
| Nurse Anesthetist (National Avg) | $103.40 |
| Nurse Midwife (National Avg) | $63.85 |
Nurse Practitioners in Fresno, CA earn a median of $172,317 per year (2026 est.), which is 25.90% higher than the national median of $136,864 and 0.30% above the California state average of $171,801.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $82.84/hr = $103,388/year (purchasing power: $101,204).
Working 40h/week (full-time) = $172,313/year (purchasing power: $168,673).
CoL index: 102.158 (100 = national average).
2019 BLS Actual
$63.20/hr
2025 BLS Actual
$80.08/hr
2026 Current Est.
$82.84/hr
2019–2027 Growth
+35.6%
Hourly Rate Trajectory for Nurse Practitioners in Fresno (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $63.20/hr | Actual |
| 2020 | $64.15/hr | Actual |
| 2021 | $73.26/hr | Actual |
| 2022 | $74.98/hr | Actual |
| 2023 | $74.38/hr | Actual |
| 2024 | $77.67/hr | Actual |
| 2025 | $80.08/hr | Actual |
| 2026(current) | $82.84/hr | Estimated |
| 2027 | $85.70/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Fresno grew 26.7% from $63.20/hr (2019) to $80.08/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $85.70/hr by 2027. Part-time and per-diem nurse practitioners can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fresno 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.
Working as an Hourly Nurse Practitioner in Fresno
Assessing the earning potential for part-time nurse practitioners reveals interesting insights. A nurse practitioner working three days a week, or 24 hours, could potentially earn around $103,265 annually, contrasting sharply with full-time professionals who enjoy enhanced benefits but may not capitalize on the same hourly flexibility. Per diem nurse practitioners in Fresno can command rates between $80 and $140 per hour, largely driven by specialty and demand. Certain areas of practice, such as psychiatric mental health, often see telehealth contractors achieving rates as high as $150 to $200 per hour. In Fresno, the landscape varies significantly between employer types, affecting pay rates: hospital outpatient clinics may offer stable W-2 positions, while retail clinics may lean more toward independent contractor arrangements. Negotiating hourly pay can be essential; some practitioners may choose a slightly lower hourly wage for jobs providing health insurance, while others prioritize higher rates without benefits, depending on their personal circumstances and professional goals.
More salary data for Fresno, CA:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Fresno in 2026?
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How much does a full-time nurse practitioner make per year in Fresno?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 3.45% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for nurse practitioners in Fresno. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
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