Nurse Practitioner Salary in Madison, AL: $105,634 (2026)
Quick Answer:A full-time nurse practitioner in Madison, AL earns a median $105,634/year (≈ $50.78/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Madison's price level (12% below national, BEA RPP 87.9), that paycheck buys what $120,175 would nationally. Nominal pay sits 2.5% below the Alabama state average.
Based on BLS state-level estimates · View source
Nurse practitioners in Madison, Alabama, experience a projected median annual salary of $105,634 in 2026, positioning them approximately 22.82% lower than the national median of $136,864. The salary range for this profession varies significantly, with the lower end at $82,963 and the upper echelons reaching $138,884. Estimates derived from 2025 BLS data indicate that these figures reflect adjustments based on local economic conditions, including cost-of-living factors unique to the region. Notably, nurse practitioners working in W-2 positions often have more predictable earnings compared to their 1099 counterparts in telehealth, where hourly rates may differ substantially based on patient volume and practice structure.
About the Madison Market
Salary estimated from Alabama average ($108,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $82,963 | $39.89 |
| Lower Range (P25) | $94,954 | $45.65 |
| Median (P50)(typical) | $105,634 | $50.78 |
| Upper Range (P75) | $125,355 | $60.27 |
| Top Earners (P90) | $138,884 | $66.77 |
Median Salary Position
22.82% below the national average
2026 Salary Percentile Distribution in Madison
In Madison, AL, the nurse practitioner salary spread from the 10th to 90th percentile is $55,921 (2026 est.). At $105,634, the local median is 22.82% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Madison: You'd be in the lower-middle range
How Madison Nurse Practitioner Pay Compares
Madison median: $105,634/year (2026)
| Compared To | Median Salary | Madison Pays |
|---|---|---|
| Alabama Average | $108,342 | -2.50% less |
| National Average | $136,864 | -22.82% less |
Nurse Practitioners in Madison, AL earn a median of $105,634 per year (2026 est.), which is 22.82% lower than the national median of $136,864 and 2.50% below the Alabama state average of $108,342.
Cost-of-Living Adjusted Salary
Madison has a cost of living 12.10% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Madison, AL has a cost-of-living index of 87.9 (below the national average of 100). A nurse practitioner earning $105,634 nominally has purchasing power equivalent to $120,175 in an average-cost city — an effective 13.77% boost.
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2019 BLS Actual
$84,761
2025 BLS Actual
$102,111
2026 Current Est.
$105,634
2019–2027 Growth
+28.9%
Salary Trajectory for Nurse Practitioners in Madison (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $84,761 | Actual |
| 2020 | $86,196 | Actual |
| 2021 | $93,143 | Actual |
| 2022 | $93,860 | Actual |
| 2023 | $97,449 | Actual |
| 2024 | $92,558 | Actual |
| 2025 | $102,111 | Actual |
| 2026(current) | $105,634 | Estimated |
| 2027 | $109,278 | Projected |
Based on 7 years of BLS OEWS data for the Madison metropolitan area, the median nurse practitioner salary grew 20.5% from $84,761 (2019) to $102,111 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $109,278 by 2027 — a total increase of $24,517 (28.92%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Madison 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $82,963 – $94,954 |
| 3-5 years (Mid Career) | $94,954 – $105,634 |
| 5+ years (Experienced) | $105,634 – $125,355 |
| 10+ years (Top Earner) | $125,355 – $138,884 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Madison
Despite a relatively small employment pool of nine nurse practitioners in the Madison area, the local job market shows promise. With a cost-of-living index of 87.9, professionals in this region often find their salaries stretch further compared to national averages. Employers across various settings, such as primary care practices, outpatient clinics, and retail clinics, usually pay competitive salaries, where factors like specialty focus and full-practice authority can influence the pay scale. For instance, psychiatric-mental health nurse practitioners (PMHNPs) tend to command higher salaries due to increased demand in mental health care. To maximize earnings, candidates should consider diversifying their skills, obtaining certifications, and exploring opportunities in higher-paying specialties or telehealth platforms that offer flexibility and supplementary income. Overall, understanding the local market dynamics is essential for nurse practitioners in Madison to effectively navigate compensation opportunities.
More salary data for Madison, AL:
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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $102,111 for nurse practitionersin the Madison metropolitan area. A 3.45% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Madison 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