Nurse Practitioner Hourly Pay in Bristol, VA: $60.28 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Bristol, VA runs $60.28 at the median for 2026 — annualizing to $125,376 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Bristol's regional price level (BEA RPP 103.2, 3% above national), each hour of work buys what $58.41 nationally would. A 24-hour part-time schedule grosses $75,230 per year.
Based on BLS state-level estimates · View source

In Bristol, VA, the projected median nurse practitioner hourly pay in 2026 is $60.28, which is lower than the national median of $65.80. For nurse practitioners working part-time, particularly those in roles such as primary care clinics, outpatient services, urgent care centers, or telehealth environments, this hourly rate can afford a reasonably comfortable lifestyle, especially when considering shifts that may only span three days a week. The hourly range for this profession stretches from $49.15 for entry-level positions to $75.07 for the most experienced practitioners, reflecting the diverse opportunities available in the local healthcare setting. This pay structure indicates that while optimal compensation is possible in Bristol, the local market is generally more competitive in larger metro regions.
About the Bristol Market
Salary estimated from Virginia average ($124,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $49.15 | $393.19 |
| Lower Range (P25) | $55.00 | $440.03 |
| Median (P50) | $60.28 | $482.24 |
| Upper Range (P75) | $69.89 | $559.13 |
| Top Earners (P90) | $75.07 | $600.59 |
Estimated Annual Income by Work Schedule in Bristol
Based on $60.28/hr median hourly rate · 2026 est.
At $60.28/hr, a nurse practitioner working full-time (40 hr/wk) in Bristol, VA can expect to earn approximately $125,383 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $72,336. With a cost-of-living index of 103.20 (above the national average), these earnings may be offset by higher expenses in Bristol.
Hourly Rate Calculator
Schedule Comparison in Bristol
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,411.21 | $10,449 | $125,383 |
| Part-Time (24 hrs) | $1,446.73 | $6,269 | $75,230 |
| Per Diem (16 hrs) | $964.49 | $4,179 | $50,153 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Bristol) | $60.28 |
| 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 Bristol, VA earn a median of $125,376 per year (2026 est.), which is 8.39% lower than the national median of $136,864 and 3.60% below the Virginia state average of $130,058.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $60.28/hr = $75,230/year (purchasing power: $72,897).
Working 40h/week (full-time) = $125,383/year (purchasing power: $121,495).
CoL index: 103.2 (100 = national average).
2019 BLS Actual
$48.37/hr
2025 BLS Actual
$58.27/hr
2026 Current Est.
$60.28/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Bristol (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $48.37/hr | Actual |
| 2020 | $49.19/hr | Actual |
| 2021 | $53.15/hr | Actual |
| 2022 | $53.56/hr | Actual |
| 2023 | $55.61/hr | Actual |
| 2024 | $59.16/hr | Actual |
| 2025 | $58.27/hr | Actual |
| 2026(current) | $60.28/hr | Estimated |
| 2027 | $62.36/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Bristol grew 20.5% from $48.37/hr (2019) to $58.27/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $62.36/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 Bristol 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 Bristol
For a part-time nurse practitioner working three days a week, totaling around 24 hours, the annual take-home can be significant, yet still markedly less than that of full-time counterparts. Many locum tenens or per diem nurse practitioners in Bristol find that while they can command hourly rates ranging from $80 to $140, depending on their specialty and roles, working with agencies or independently often means sacrificing benefits such as health insurance. The reality of the local market shows variation in pay across different employer types, including outpatient clinics, retail clinics, and telehealth platforms, each requiring varying degrees of specialized knowledge. While a higher hourly rate may seem attractive, some practitioners trade these opportunities for positions with health benefits and stable hours. Negotiating hourly contracts effectively becomes crucial, particularly in Bristol, where understanding the specifics of employer policies on health benefits and scheduling can make a significant difference in overall job satisfaction.
More salary data for Bristol, VA:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Bristol in 2026?
How much do part-time nurse practitioners make in Bristol?
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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 Bristol. 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 Bristol 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