Nurse Practitioner Hourly Pay in Cookeville, TN: $53.14 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Cookeville, TN runs $53.14 at the median for 2026 — annualizing to $110,533 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Cookeville's regional price level (BEA RPP 91.8, 8% below national), each hour of work buys what $57.89 nationally would. A 24-hour part-time schedule grosses $66,322 per year.
Based on BLS state-level estimates · View source
Nurse practitioners in Cookeville, Tennessee, currently earn a median hourly rate of $53.14, which significantly lags behind the national median of $65.80. This disparity highlights the financial landscape for part-time and per-diem professionals, who often work three days a week in settings ranging from primary care clinics to telehealth platforms. The hourly pay in Cookeville varies considerably, reaching up to $67.10 for top earners while entry-level positions might see rates as low as $42.56. These hourly rates, derived from projected annual salaries and the local demand for healthcare professionals, reflect factors such as the cost of living in Cookeville, which is below the national average.
About the Cookeville Market
Salary estimated from Tennessee average ($108,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $42.56 | $340.47 |
| Lower Range (P25) | $48.16 | $385.25 |
| Median (P50) | $53.14 | $425.14 |
| Upper Range (P75) | $61.85 | $494.82 |
| Top Earners (P90) | $67.10 | $536.78 |
Estimated Annual Income by Work Schedule in Cookeville
Based on $53.14/hr median hourly rate · 2026 est.
At $53.14/hr, a nurse practitioner working full-time (40 hr/wk) in Cookeville, TN can expect to earn approximately $110,536 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $63,771. With a cost-of-living index of 91.80 (below the national average), these earnings stretch further in Cookeville.
Hourly Rate Calculator
Schedule Comparison in Cookeville
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,125.69 | $9,211 | $110,536 |
| Part-Time (24 hrs) | $1,275.41 | $5,527 | $66,322 |
| Per Diem (16 hrs) | $850.28 | $3,685 | $44,214 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Cookeville) | $53.14 |
| 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 Cookeville, TN earn a median of $110,533 per year (2026 est.), which is 19.24% lower than the national median of $136,864 and 5.00% below the Tennessee state average of $116,351.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $53.14/hr = $66,322/year (purchasing power: $72,246).
Working 40h/week (full-time) = $110,536/year (purchasing power: $120,409).
CoL index: 91.8 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$42.64/hr
2025 BLS Actual
$51.37/hr
2026 Current Est.
$53.14/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Cookeville (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $42.64/hr | Actual |
| 2020 | $43.36/hr | Actual |
| 2021 | $46.86/hr | Actual |
| 2022 | $47.22/hr | Actual |
| 2023 | $49.02/hr | Actual |
| 2024 | $45.29/hr | Actual |
| 2025 | $51.37/hr | Actual |
| 2026(current) | $53.14/hr | Estimated |
| 2027 | $54.98/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Cookeville grew 20.5% from $42.64/hr (2019) to $51.37/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $54.98/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 Cookeville 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 Cookeville
For those working part-time, a nurse practitioner earning $53.14 per hour and working 24 hours a week could realistically take home around $66,274 annually. In contrast, full-time positions would result in a markedly higher income. Per diem opportunities are more lucrative, particularly for locum tenens nurses, where hourly billing rates can range from $80 to $140 based on specialty, and psychiatric-mental health nurse practitioners (PMHNP) often command even higher rates, reaching up to $200 for asynchronous telehealth consultations. Hourly compensation also varies by employer, with primary care practices and outpatient clinics typically offering lower pay compared to agency or locum opportunities. When considering employment, nurse practitioners must weigh the benefits of full-time positions, which often include health insurance, against higher hourly rates available in per diem roles without benefits. It is advisable for practitioners to engage in negotiation for better pay based on their experience and the setting, especially in Cookeville where market dynamics can favor skilled professionals.
More salary data for Cookeville, TN:
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 Cookeville. 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 Cookeville 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