Nurse Practitioner Pay

Nurse Practitioner Salary in California: $180,961 (2026)

Quick Answer:Across California's 158 metropolitan areas, the average median nurse practitioner pay sits at $180,961/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-1171. Because California sits at BEA RPP 113.1 (13% above the U.S. baseline), that statewide median translates to roughly $160,001 in nationally-comparable purchasing power. Highest-paying metros: Sunnyvale ($236,997), Santa Clara ($235,441), San Jose ($231,560).

Nurse Practitioner Salary in California - 2025 BLS Data Infographic
California nurse practitioner salary overview (2026)
$180,961
Avg Median Salary
$87.00
Avg Hourly Rate
26,969
Metro Employed
158
Cities

As of 2026, nurse practitioners in California are projected to earn an average median salary of $180,961, significantly higher than the national median of $136,864, representing a 32.2% premium. The highest salaries are found in Sunnyvale at $245,173, while the lowest average is in Thousand Oaks at $153,312. This $91,861 salary gap between cities can be attributed to factors such as cost of living, demand for healthcare services, and the concentration of healthcare facilities in urban areas. California's licensing requirements and scope of practice laws further enhance earning potential. Nurse practitioners in California can practice independently, which often leads to higher salaries as they take on more responsibilities. The state is experiencing a 3.45% annual growth rate in this profession, indicating a strong job market and increasing demand for healthcare services amid a rising population. The total employment for nurse practitioners in California is expected to be approximately 26,969 by 2026. With cities like Santa Clara, San Jose, Oakland, and Fremont also offering high salaries, the outlook remains positive for those entering or advancing in this field. Understanding regional differences and the evolving healthcare landscape can assist prospective nurse practitioners in making informed career choices.

California Nurse Practitioner Salary Range

Entry Level (10th %ile)
$133,505
avg across 158 cities
Median
$180,961
state average
Top Earners (90th %ile)
$237,431
avg across 158 cities

Overall salary range in California: $106,895 (lowest entry-level) to $332,234 (highest top earner)

California vs National Average

California
$180,961
National Median
$136,864

California nurse practitioners earn 32.22% more than the national median (+$44,097/year difference).

California Nurse Practitioner Salary Distribution (2026)

Vertical bar chart showing California nurse practitioner salary percentiles: 10th percentile $133,505, 25th $151,777, Median $180,961, 75th $207,164, 90th $237,431. US national median is $136,864.$66.5K$133.0K$199.4K$265.9K$133.5K10thEntry Level$151.8K25thEarly Career$181.0KMedianMid Career$207.2K75thExperienced$237.4K90thTop EarnerUS Median $136.9K

Nurse Practitioner salaries in California range from $133,505 (entry-level, 10th percentile) to $237,431 (top earners, 90th percentile), with a median of $180,961. The California median is $44,097 above the US national median of $136,864. The average hourly rate is $87.00/hr. Approximately 26,969 nurse practitioners are employed across 158 cities.

2019 BLS Actual

$131,231

2025 BLS Actual

$174,926

2026 Current Est.

$180,961

2019–2027 Growth

+42.7%

Salary Trajectory for Nurse Practitioners in California (20192027)

2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.

BLS Actual Estimated Projected
Salary trajectory chart for nurse practitioners in California. Baseline $131,231 in 2025, projected to $187,204 by 2027.$120.0K$139.6K$159.2K$178.8K$198.4K2019202020212022202320242025202620272025 BLS$131.2K$140.2K$141.3K$160.9K$169.1K$177.3K$174.9K$181.0K$187.2K
YearAnnual SalaryStatus
2019$131,231Actual
2020$140,199Actual
2021$141,258Actual
2022$160,908Actual
2023$169,060Actual
2024$177,342Actual
2025$174,926Actual
2026(current)$180,961Estimated
2027$187,204Projected

Based on 7 years of BLS OEWS data for the California metropolitan area, the median nurse practitioner salary grew 33.3% from $131,231 (2019) to $174,926 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $187,204 by 2027 — a total increase of $55,973 (42.65%) from 2019.

Note: Historical values (20192025) are actual BLS OEWS figures for the California metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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.

Top 5 Highest Paying Cities in California

#1
Sunnyvale
26 employed · $117.87/hr
$245,173
+35.48% vs avg
#2
Santa Clara
32 employed · $117.10/hr
$243,564
+34.59% vs avg
#3
San Jose
1,580 employed · $115.17/hr
$239,549
+32.38% vs avg
#4
Oakland
78 employed · $111.44/hr
$231,796
+28.09% vs avg
#5
Fremont
43 employed · $108.98/hr
$226,684
+25.27% vs avg

Lowest Paying Cities in California

CityMedian Salary
Thousand Oaks$153,312
Oxnard$153,934
Lodi$162,369
Brea$163,019
Merced$164,227

Best Value Cities for Nurse Practitioners in California

When adjusted for local cost of living, these California cities offer the most purchasing power for nurse practitioners.

CityNominal SalaryCoL IndexAdjusted Salary
San Jose$239,549110.423$216,938
Sunnyvale$245,173113.1$216,775
Santa Clara$243,564113.1$215,353
Oakland$231,796113.1$204,948
Fremont$226,684113.1$200,428

Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.

Salary by Experience Level in California

Experience LevelEstimated Annual
Entry Level (0-2 years)$133,505
Mid Career (3-7 years)$180,961
Experienced (7+ years)$237,431

Estimates based on BLS percentile data averaged across California metro areas. Individual pay varies by employer, certifications, and specialization.

All 158 Cities in California

#CityMedian Salary
1Sunnyvale$245,173
2Santa Clara$243,564
3San Jose$239,549
4Oakland$231,796
5Fremont$226,684
6San Francisco$226,638
7Vallejo$188,662
8Napa$182,351
9Santa Ana$182,049
10Modesto$179,362
11Folsom$179,147
12Fontana$178,681
13Irvine$178,484
14Ontario$178,152
15Sacramento$177,944
16Pomona$177,613
17Simi Valley$177,516
18Escondido$177,474
19Roseville$177,211
20Fairfield$177,155
21Fullerton$176,502
22Daly City$176,349
23El Monte$176,294
24Vista$176,197
25Concord$176,156
26San Bernardino$176,001
27Clovis$175,892
28Riverside$175,782
29Garden Grove$175,711
30Temecula$175,669
31Santa Clarita$175,552
32Lancaster$175,322
33Inglewood$175,322
34Corona$175,101
35Richmond$175,073
36Rialto$174,989
37Torrance$174,767
38Elk Grove$174,433
39Oceanside$174,392
40Hanford$174,355
41Whittier$174,341
42San Rafael$174,328
43Rancho Cucamonga$174,170
44Hayward$174,073
45Woodland$174,028
46Buena Park$174,001
47Encinitas$173,987
48Downey$173,976
49Dublin$173,878
50Redlands$173,824
51Chino$173,729
52Westminster$173,674
53Santa Monica$173,660
54San Mateo$173,643
55Tulare$173,592
56San Buenaventura$173,531
57Mission Viejo$173,415
58Moreno Valley$173,414
59Pleasanton$173,388
60Pasadena$173,142
61Santee$173,021
62Santa Cruz$172,958
63Glendale$172,865
64Chico$172,844
65Santa Rosa$172,803
66Mountain View$172,776
67Pittsburg$172,763
68Novato$172,708
69Costa Mesa$172,643
70Berkeley$172,463
71Huntington Beach$172,421
72Fresno$172,317
73Jurupa Valley$172,268
74Hemet$172,218
75Union City$172,204
76West Covina$172,184
77Chino Hills$172,137
78Gilroy$171,891
79Salinas$171,820
80San Marcos$171,796
81Tustin$171,646
82San Ramon$171,633
83Eastvale$171,469
84Murrieta$171,463
85Vacaville$171,463
86Brentwood$171,388
87Hesperia$171,306
88Bakersfield$171,293
89Santa Maria$171,293
90Lake Elsinore$171,293
91Petaluma$171,151
92Citrus Heights$171,075
93El Cajon$170,921
94San Clemente$170,870
95Bellflower$170,803
96Palmdale$170,727
97La Mirada$170,726
98Yuba City$170,713
99Apple Valley$170,694
100Menifee$170,644
101Yucaipa$170,571
102Norwalk$170,560
103Rancho Cordova$170,408
104El Centro$170,382
105Montebello$170,245
106Compton$170,176
107Porterville$170,054
108Lompoc$170,032
109Anaheim$170,014
110Hawthorne$169,769
111Antioch$169,714
112Chula Vista$169,710
113Burbank$169,699
114San Diego$169,513
115Alhambra$169,306
116Livermore$169,306
117Orange$169,256
118South Gate$169,251
119Victorville$169,214
120West Sacramento$169,156
121Poway$169,112
122San Leandro$168,884
123Indio$168,694
124Lake Forest$168,694
125San Luis Obispo$168,572
126Carson$168,394
127Rocklin$168,367
128Carlsbad$168,096
129Newport Beach$168,081
130Redwood City$168,068
131Turlock$168,027
132Manteca$167,972
133Perris$167,958
134Madera$167,823
135Long Beach$167,595
136Baldwin Park$167,523
137Palo Alto$167,523
138Lakewood$167,456
139Los Angeles$167,041
140Beaumont$166,965
141Tracy$166,925
142Alameda$166,870
143Laguna Niguel$166,829
144Milpitas$166,748
145Camarillo$166,394
146Oakley$166,326
147Davis$166,284
148Upland$166,162
149Redding$166,017
150La Habra$165,917
151Lynwood$165,849
152Visalia$164,930
153Stockton$164,641
154Merced$164,227
155Brea$163,019
156Lodi$162,369
157Oxnard$153,934
158Thousand Oaks$153,312

More California Salary Data

Hourly Rates

Explore nurse practitioner hourly pay in California cities.

Entry Level

Starting salaries for new nurse practitioners.

Senior / Experienced

Top earner salaries for experienced nurse practitioners.

Compare Cities in California

View all comparisons →

Explore More Nurse Practitioner Salary Data

Frequently Asked Questions

How much do nurse practitioners make in California in 2026?

The average median nurse practitioner salary in California is $180,961/year across 158 metro areas, based on estimated 2026 (projected from 2025 BLS data). Salaries range from $153,312 in Thousand Oaks to $245,173 in Sunnyvale. This makes California one of the higher-paying states, at 32.22% above the national median of $136,864. The state employs approximately 26,969 nurse practitioners.

What is the highest paying city for nurse practitioners in California?

Sunnyvale offers the highest nurse practitioner salary in California at $245,173/year ($117.87/hr), based on estimated 2026 (projected from 2025 BLS data). The top 3 highest-paying cities are Sunnyvale ($245,173), Santa Clara ($243,564), San Jose ($239,549). Higher pay in these metros is typically driven by cost of living, demand for advanced practice nursing services, and competition among employers for licensed nurse practitioners.

How does California nurse practitioner pay compare to the national average?

California's average nurse practitioner salary of $180,961 is 32.22% above the national median of $136,864 in 2026. The state employs approximately 26,969 nurse practitioners across 158 metropolitan areas. When comparing salaries, consider cost-of-living differences — a lower nominal salary in an affordable area may provide better purchasing power than a higher salary in an expensive metro.

What is the entry-level nurse practitioner salary in California?

Entry-level nurse practitioners (10th percentile) in California earn approximately $133,505/year on average, based on estimated 2026 (projected from 2025 BLS data). Starting salaries range from $106,895 in lower-paying areas to $184,409 in the highest-paying metros. New graduates should expect salaries at the lower end and can typically reach the area median within 3–5 years of clinical experience.

How many nurse practitioners are employed in California?

California employs approximately 26,969 nurse practitioners across 158 metropolitan areas, based on the latest BLS data. This makes California one of the larger employers of nurse practitioners nationally. Demand continues to grow as the advanced practice nursing field expands and the population ages.

Which California city offers the best value for nurse practitioners?

When adjusted for cost of living, San Jose offers the highest purchasing power for nurse practitioners in California, with an adjusted salary of $216,938 (nominal: $239,549, CoL index: 110.423). This means your dollar goes 9% less far compared to the national average, making it important to negotiate higher base pay.
MG

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.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

Statewide 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. A 3.45% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to each metro area's reported salary to estimate current 2026 nurse practitioner compensation across California. State averages are employment-weighted across 158 metro areas — larger metro areas with more nurse practitionerscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.

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

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