Nurse Practitioner Hourly Pay in Spokane, WA: $70.61 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Spokane, WA runs $70.61 at the median for 2026 — annualizing to $146,889 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Spokane's regional price level (BEA RPP 100.3, 0% above national), each hour of work buys what $70.37 nationally would. A 24-hour part-time schedule grosses $88,127 per year.
Official BLS data · View source
In Spokane, Washington, the nurse practitioner hourly pay stands at a compelling $70.61, surpassing the national median hourly rate of $65.80. This pay rate offers lucrative opportunities for those considering part-time roles or per-diem work, particularly in diverse healthcare environments such as primary care settings, hospitals, urgent care facilities, retail clinics, psychiatric medication management offices, and telehealth services. With an hourly range from $54.23 for entry-level practitioners up to $91.04 for those at the top of their field, these figures highlight both the competitive nature of the job market in Spokane and the potential for financial growth within this vital healthcare profession. The information provided here is based on 2025 BLS OEWS data, projected to 2026.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $54.23 | $433.83 |
| Lower Range (P25) | $62.78 | $502.27 |
| Median (P50) | $70.61 | $564.92 |
| Upper Range (P75) | $79.15 | $633.20 |
| Top Earners (P90) | $91.04 | $728.29 |
Estimated Annual Income by Work Schedule in Spokane
Based on $70.61/hr median hourly rate · 2026 est.
At $70.61/hr, a nurse practitioner working full-time (40 hr/wk) in Spokane, WA can expect to earn approximately $146,879 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $84,738. With a cost-of-living index of 100.35 (above the national average), these earnings may be offset by higher expenses in Spokane.
Hourly Rate Calculator
Schedule Comparison in Spokane
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,824.60 | $12,240 | $146,879 |
| Part-Time (24 hrs) | $1,694.76 | $7,344 | $88,127 |
| Per Diem (16 hrs) | $1,129.84 | $4,896 | $58,752 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Spokane) | $70.61 |
| 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 Spokane, WA earn a median of $146,889 per year (2026 est.), which is 7.32% higher than the national median of $136,864 and 2.70% below the Washington state average of $150,965.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $70.61/hr = $88,127/year (purchasing power: $87,824).
Working 40h/week (full-time) = $146,879/year (purchasing power: $146,373).
CoL index: 100.346 (100 = national average).
2019 BLS Actual
$65.10/hr
2025 BLS Actual
$68.26/hr
2026 Current Est.
$70.61/hr
2019–2027 Growth
+12.2%
Hourly Rate Trajectory for Nurse Practitioners in Spokane (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $65.10/hr | Actual |
| 2020 | $59.18/hr | Actual |
| 2021 | $56.86/hr | Actual |
| 2022 | $60.13/hr | Actual |
| 2023 | $62.12/hr | Actual |
| 2024 | $63.02/hr | Actual |
| 2025 | $68.26/hr | Actual |
| 2026(current) | $70.61/hr | Estimated |
| 2027 | $73.05/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Spokane grew 4.9% from $65.10/hr (2019) to $68.26/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $73.05/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 Spokane 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 Spokane
When evaluating the financial landscape for nurse practitioners in Spokane, part-time workers in a three-day-a-week schedule can expect a considerable annual take-home that contrasts sharply with full-time earnings. Per diem nurse practitioners, billing anywhere from $80 to $140 per hour, have further opportunities for increased income, especially in high-demand specialties. Notably, PMHNPs working in telehealth platforms often command rates between $150 and $200 per hour, reflecting the booming mental health sector. Employment settings also matter; rates may differ significantly based on whether one works in hospital outpatient clinics, independent practices, urgent care chains, or as a 1099 contractor. While some may opt for positions offering lower hourly rates in exchange for benefits like health insurance, others prefer the flexibility and higher pay of less structured roles. Negotiation can be key in this market, encouraging practitioners to determine their worth and consider local demand trends to secure favorable hourly rates.
More salary data for Spokane, WA:
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 Spokane. 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