Nurse Practitioner Hourly Pay in Middletown, NY: $65.28 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Middletown, NY runs $65.28 at the median for 2026 — annualizing to $135,775 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Middletown's regional price level (BEA RPP 115.9, 16% above national), each hour of work buys what $56.32 nationally would. A 24-hour part-time schedule grosses $81,466 per year.
Based on BLS state-level estimates · View source
In 2026, nurse practitioners in Middletown, NY, can expect to earn a median hourly rate of $65.28, which is slightly below the national median of $65.80. This compensation reflects the diverse settings they might work in, from hospital outpatient clinics to telehealth platforms, making it suitable for those pursuing part-time roles or per diem positions. For a typical part-time schedule of three days a week, nurse practitioners can leverage this hourly rate to sustain a balanced work-life dynamic while contributing to vital healthcare services. With an hourly range from $54.10 for entry-level positions to $84.72 for top earners, there is significant upward potential for experienced NPs in the region, even as healthcare demands continue to rise.
About the Middletown Market
Salary estimated from New York average ($145,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $54.10 | $432.83 |
| Lower Range (P25) | $59.05 | $472.39 |
| Median (P50) | $65.28 | $522.22 |
| Upper Range (P75) | $77.18 | $617.47 |
| Top Earners (P90) | $84.72 | $677.72 |
Estimated Annual Income by Work Schedule in Middletown
Based on $65.28/hr median hourly rate · 2026 est.
At $65.28/hr, a nurse practitioner working full-time (40 hr/wk) in Middletown, NY can expect to earn approximately $135,776 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $78,332. With a cost-of-living index of 115.90 (above the national average), these earnings may be offset by higher expenses in Middletown.
Hourly Rate Calculator
Schedule Comparison in Middletown
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,611.08 | $11,315 | $135,776 |
| Part-Time (24 hrs) | $1,566.65 | $6,789 | $81,466 |
| Per Diem (16 hrs) | $1,044.43 | $4,526 | $54,310 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Middletown) | $65.28 |
| 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 Middletown, NY earn a median of $135,775 per year (2026 est.), which is 0.80% lower than the national median of $136,864 and 3.30% below the New York state average of $140,409.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $65.28/hr = $81,466/year (purchasing power: $70,290).
Working 40h/week (full-time) = $135,776/year (purchasing power: $117,149).
CoL index: 115.9 (100 = national average).
2019 BLS Actual
$52.38/hr
2025 BLS Actual
$63.10/hr
2026 Current Est.
$65.28/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Middletown (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $52.38/hr | Actual |
| 2020 | $53.27/hr | Actual |
| 2021 | $57.56/hr | Actual |
| 2022 | $58.00/hr | Actual |
| 2023 | $60.22/hr | Actual |
| 2024 | $78.09/hr | Actual |
| 2025 | $63.10/hr | Actual |
| 2026(current) | $65.28/hr | Estimated |
| 2027 | $67.53/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Middletown grew 20.5% from $52.38/hr (2019) to $63.10/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $67.53/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 Middletown 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 Middletown
Examining the earning potential for part-time nurse practitioners reveals noteworthy insights. Those working three days a week at 24 hours may take home around $80,000 annually, a respectable income when compared to full-time professionals. Per diem nurse practitioner pay in Middletown can vary greatly depending on the employer type; locum NPs might earn anywhere from $80 to $140 per hour based on their specialty, while psychiatric mental health nurse practitioners (PMHNPs) engaged in telehealth could command rates as high as $150 to $200 per hour for asynchronous medication management. Moreover, different settings like urgent care chains and retail clinics can result in varying pay, influencing whether practitioners opt for lower hourly rates with benefits or seek higher hourly wages without them. Negotiating compensation effectively is key for nurse practitioners in this market, particularly in aligning with the specific demands and opportunities presented by varying healthcare employers across the Middletown area.
More salary data for Middletown, NY:
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 Middletown. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Middletown is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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