Nurse Practitioner Hourly Pay in Missoula, MT: $65.47 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Missoula, MT runs $65.47 at the median for 2026 — annualizing to $136,192 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Missoula's regional price level (BEA RPP 96.4, 4% below national), each hour of work buys what $67.89 nationally would. A 24-hour part-time schedule grosses $81,711 per year.
Official BLS data · View source

In Missoula, Montana, nurse practitioners earn a median hourly rate of $65.47, which is slightly below the national median of $65.80. This rate provides a solid foundation for both full-time and part-time practitioners as well as those exploring per-diem opportunities. For instance, a nurse practitioner working three days a week can expect to earn around $62,293 annually before taxes, making this field attractive for flexible employment in various healthcare settings, including primary care exam rooms, urgent care clinics, psychiatric offices, and telehealth services. The pay range in Missoula extends from $53.01 for entry-level positions to a commendable $77.47 for those at the top of their field, allowing the flexibility to suit different experience levels and work arrangements. This data reflects official Bureau of Labor Statistics (BLS) estimates based on 2025 BLS OEWS data projected to 2026.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $53.01 | $424.06 |
| Lower Range (P25) | $61.79 | $494.33 |
| Median (P50) | $65.47 | $523.79 |
| Upper Range (P75) | $68.84 | $550.69 |
| Top Earners (P90) | $77.47 | $619.79 |
Estimated Annual Income by Work Schedule in Missoula
Based on $65.47/hr median hourly rate · 2026 est.
At $65.47/hr, a nurse practitioner working full-time (40 hr/wk) in Missoula, MT can expect to earn approximately $136,185 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $78,568. With a cost-of-living index of 96.44 (below the national average), these earnings stretch further in Missoula.
Hourly Rate Calculator
Schedule Comparison in Missoula
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,618.94 | $11,349 | $136,185 |
| Part-Time (24 hrs) | $1,571.36 | $6,809 | $81,711 |
| Per Diem (16 hrs) | $1,047.58 | $4,539 | $54,474 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Missoula) | $65.47 |
| 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 Missoula, MT earn a median of $136,192 per year (2026 est.), which is 0.49% lower than the national median of $136,864 and 3.50% below the Montana state average of $141,132.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $65.47/hr = $81,711/year (purchasing power: $84,723).
Working 40h/week (full-time) = $136,185/year (purchasing power: $141,205).
CoL index: 96.445 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$49.80/hr
2025 BLS Actual
$63.29/hr
2026 Current Est.
$65.47/hr
2019–2027 Growth
+36.0%
Hourly Rate Trajectory for Nurse Practitioners in Missoula (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $49.80/hr | Actual |
| 2020 | $52.87/hr | Actual |
| 2021 | $49.07/hr | Actual |
| 2022 | $53.56/hr | Actual |
| 2023 | $59.25/hr | Actual |
| 2024 | $61.50/hr | Actual |
| 2025 | $63.29/hr | Actual |
| 2026(current) | $65.47/hr | Estimated |
| 2027 | $67.73/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Missoula grew 27.1% from $49.80/hr (2019) to $63.29/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $67.73/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 Missoula 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 Missoula
Examining the financial landscape for part-time nurse practitioners reveals significant potential for earnings compared to full-time positions. A nurse practitioner working on a per diem basis may see rates between $80 and $140 per hour depending on specialization, making it feasible to earn a competitive income through flexible scheduling. For example, psychiatric mental health nurse practitioners (PMHNPs) contracting through telehealth platforms often command even higher rates, reaching $150 to $200 per hour for asynchronous medication management services. Hourly pay varies significantly across employer types in Missoula, with outpatient clinics, independent primary care practices, and urgent care facilities offering different compensation structures. The choice between higher wages with no benefits versus a lower hourly rate with health insurance is a trade-off many NPs must navigate. Effectively negotiating your pay is critical; disclosing your expertise, understanding local market rates, and being prepared to discuss your expected hourly rate upfront can lead to more favorable outcomes.
More salary data for Missoula, MT:
Frequently Asked Questions
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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 Missoula. 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