Nurse Practitioner Hourly Pay in Winston-Salem, NC: $65.86 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Winston-Salem, NC runs $65.86 at the median for 2026 — annualizing to $136,987 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Winston-Salem's regional price level (BEA RPP 93.6, 6% below national), each hour of work buys what $70.36 nationally would. A 24-hour part-time schedule grosses $82,189 per year.
Based on BLS state-level estimates · View source
In Winston-Salem, North Carolina, the nurse practitioner hourly pay is projected to reach $65.86 in 2026, slightly higher than the national hourly median of $65.80. This competitive rate positions nurse practitioners well, especially those considering part-time work in various settings such as primary care exam rooms, outpatient clinics, urgent care facilities, and telehealth platforms. For those working three days a week, this hourly rate translates into viable income, particularly for per-diem positions that often pay between $46.39 and $89.48 per hour based on experience and specialty. The city's hourly pay structure reflects a modestly favorable outlook for the profession, providing entry-level nurse practitioners a solid starting salary while top earners can expect to make significantly more.
About the Winston-Salem Market
Salary estimated from North Carolina average ($122,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $46.39 | $371.10 |
| Lower Range (P25) | $55.56 | $444.50 |
| Median (P50) | $65.86 | $526.85 |
| Upper Range (P75) | $79.24 | $633.94 |
| Top Earners (P90) | $89.48 | $715.87 |
Estimated Annual Income by Work Schedule in Winston-Salem
Based on $65.86/hr median hourly rate · 2026 est.
At $65.86/hr, a nurse practitioner working full-time (40 hr/wk) in Winston-Salem, NC can expect to earn approximately $136,981 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $79,028. With a cost-of-living index of 93.60 (below the national average), these earnings stretch further in Winston-Salem.
Hourly Rate Calculator
Schedule Comparison in Winston-Salem
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,634.25 | $11,415 | $136,981 |
| Part-Time (24 hrs) | $1,580.55 | $6,849 | $82,189 |
| Per Diem (16 hrs) | $1,053.70 | $4,566 | $54,792 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Winston-Salem) | $65.86 |
| 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 Winston-Salem, NC earn a median of $136,987 per year (2026 est.), which is 0.09% higher than the national median of $136,864 and 3.60% above the North Carolina state average of $132,227.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $65.86/hr = $82,189/year (purchasing power: $87,808).
Working 40h/week (full-time) = $136,981/year (purchasing power: $146,347).
CoL index: 93.6 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$52.84/hr
2025 BLS Actual
$63.66/hr
2026 Current Est.
$65.86/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Winston-Salem (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $52.84/hr | Actual |
| 2020 | $53.74/hr | Actual |
| 2021 | $58.07/hr | Actual |
| 2022 | $58.52/hr | Actual |
| 2023 | $60.75/hr | Actual |
| 2024 | $56.90/hr | Actual |
| 2025 | $63.66/hr | Actual |
| 2026(current) | $65.86/hr | Estimated |
| 2027 | $68.13/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Winston-Salem grew 20.5% from $52.84/hr (2019) to $63.66/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $68.13/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 Winston-Salem 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 Winston-Salem
Part-time nurse practitioners in Winston-Salem who work a 24-hour week would take home approximately $82,773 annually, which is markedly lower than their full-time counterparts but remains competitive for those seeking flexibility. The per diem nurse practitioner pay in Winston-Salem varies widely, with locum tenens NPs charging between $80 and $140 per hour, depending on their specialty, while psychiatric mental health nurse practitioners (PMHNPs) can secure rates up to $200 for telehealth consultations. This diversity highlights the potential for high earnings in specialized areas, yet some opt for lower-paying positions that offer health insurance benefits, balancing immediate income with long-term stability. Nurse practitioners should consider negotiating based on the employer type—whether hospital outpatient clinics, urgent care chains, or telehealth services—recognizing that hourly compensation often comes with differing benefits packages. Effective negotiation can help secure desirable pay, particularly in an evolving job market where demand for NPs continues to climb.
More salary data for Winston-Salem, NC:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Winston-Salem in 2026?
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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
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 Winston-Salem. 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 Winston-Salem 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