Nurse Practitioner Pay

Nurse Practitioner Salary in San Jose, CA: $239,549 (2026)

Quick Answer:A full-time nurse practitioner in San Jose, CA earns a median $239,549/year (≈ $115.17/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in San Jose's price level (10% above national, BEA RPP 110.4), that paycheck buys what $216,938 would nationally. Nominal pay sits 39.4% above the California state average.

$239,549
Median Annual Salary
$115.17/hr
Median Hourly Rate
$169,317
Entry Level (P10)
$293,188
Top Earners (P90)

Official BLS data · View source

Nurse Practitioner Salary in San Jose, CA — 2026 est., based on 2025 BLS
San Jose, CA nurse practitioner salary overview (2026 est., based on 2025 BLS)

In San Jose, the nurse practitioner salary is quite substantial, with a median annual figure projected at $239,549 for 2026. This figure not only reflects the local demand for healthcare providers but also positions it significantly above the national median of $136,864, illustrating a compelling 75.03% increase. Nurse practitioners in the area earn between $169,317 and $293,188, showcasing a broad salary range that indicates varying compensation depending on role, practice type, and additional benefits. Data derived from 2025 BLS OEWS surveys highlights the diverse opportunities for NPs in San Jose, especially as the job market continues to flourish. The choice between W-2 employment at established clinics versus 1099 telehealth roles also significantly affects hourly pay, with variations impacting overall income potential.

Salary Breakdown

PercentileAnnualHourly
Entry Level (P10)$169,317$81.40
Lower Range (P25)$185,051$88.97
Median (P50)(typical)$239,549$115.17
Upper Range (P75)$289,608$139.23
Top Earners (P90)$293,188$140.95

Median Salary Position

$136,864$293,188
City Median: $239,549
National: $136,864
P10–P90 Range

75.03% above the national average

2026 Salary Percentile Distribution in San Jose

Vertical bar chart of 10th through 90th percentile salaries for nurse practitioners in San Jose. The median salary is $239,549, compared to the national median of $136,864.$123.2K$169.3K$215.5K$261.7K$307.8K$169.3K10th Pctl$185.1K25th Pctl$239.5KMedian$289.6K75th Pctl$293.2K90th PctlUS Median$136.9K

In San Jose, CA, the nurse practitioner salary spread from the 10th to 90th percentile is $123,871 (2026 est.). At $239,549, the local median is 75.03% above the national median of $136,864.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of nurse practitioner pay in the San Jose metro area.

Salary Calculator

8 hrs (1 day)24 hrs (3 days)40 hrs (full-time)
$4,607
per week
$19,963
per month
$239,555
per year

At 40 hours/week in San Jose: You'd be above the median

How San Jose Nurse Practitioner Pay Compares

San Jose median: $239,549/year (2026)

Compared ToMedian SalarySan Jose Pays
California Average$171,843+39.40% more
National Average$136,864+75.03% more
Horizontal bar chart comparing nurse practitioner median salary in San Jose ($239,549) with California average ($171,843) and the US national median ($136,864).San Jose$239,549California Avg$171,843+39.40%US National$136,864+75.03%

Nurse Practitioners in San Jose, CA earn a median of $239,549 per year (2026 est.), which is 75.03% higher than the national median of $136,864 and 39.40% above the California state average of $171,843.

Cost-of-Living Adjusted Salary

$239,549
Nominal Salary
110.423
CoL Index
$216,938
Adjusted Salary

San Jose has a cost of living 10.42% above the national average.

Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.

The nominal salary is $239,549. After adjusting for a cost-of-living index of 110.423, the purchasing-power equivalent is $216,938, a loss of $22,611.$116.3K$156.1K$195.9K$235.7K$275.5K$239,549NominalSalary$216,938CoL Adjusted(CoL: 110.423) -9.44%US Median $136.9K

San Jose, CA has a cost-of-living index of 110.423 (above the national average of 100). While the nominal salary of $239,549 is competitive, the higher cost of living reduces purchasing power to an effective $216,938 — a 9.44% reduction.

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2019 BLS Actual

$126,560

2025 BLS Actual

$231,560

2026 Current Est.

$239,549

2019–2027 Growth

+95.8%

Salary Trajectory for Nurse Practitioners in San Jose (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 San Jose. Baseline $126,560 in 2025, projected to $247,813 by 2027.$102.3K$144.7K$187.2K$229.6K$272.1K2019202020212022202320242025202620272025 BLS$126.6K$134.5K$211.2K$211.0K$209.7K$225.7K$231.6K$239.5K$247.8K
YearAnnual SalaryStatus
2019$126,560Actual
2020$134,540Actual
2021$211,222Actual
2022$210,970Actual
2023$209,690Actual
2024$225,730Actual
2025$231,560Actual
2026(current)$239,549Estimated
2027$247,813Projected

Based on 7 years of BLS OEWS data for the San Jose metropolitan area, the median nurse practitioner salary grew 83.0% from $126,560 (2019) to $231,560 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $247,813 by 2027 — a total increase of $121,253 (95.81%) from 2019.

Note: Historical values (20192025) are actual BLS OEWS figures for the San Jose 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.

Salary by Experience Level

ExperienceEstimated Salary Range
0-2 years (New Graduate)$169,317$185,051
3-5 years (Mid Career)$185,051$239,549
5+ years (Experienced)$239,549$289,608
10+ years (Top Earner)$289,608$293,188

NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.

Nurse Practitioner Job Market in San Jose

Evaluating the local job market reveals that there are currently 1,580 nurse practitioners employed in the San Jose area, which underscores the region's reliance on advanced practice providers. However, the cost of living index of 110.423 indicates that while salaries appear high, purchasing power may be constrained by housing and everyday expenses. Among employers, specialty clinics generally tend to offer the most competitive wages, especially for nurse practitioners focused on psychiatric mental health, as the demand in this specialty remains robust. Factors contributing to salary disparities include practice authority variation—with California being one of the full-practice states—and the influence of productivity bonuses and telehealth arrangements. For those seeking to maximize nurse practitioner pay in San Jose, diversifying practice settings and pursuing additional certifications can enhance earning potential, capitalizing on the city's unique healthcare landscape.

Frequently Asked Questions

How much do nurse practitioners make in San Jose, CA in 2026?

The estimated 2026 median nurse practitioner salary in San Jose is $239,549/year ($115.17/hour), based on estimated 2026 salary (projected from 2025 BLS data at 3.45% annual growth). Salaries range from $169,317 at entry level (10th percentile) to $293,188 for experienced top earners (90th percentile). This puts San Jose at 75.0% above the national median. Full-time nurse practitioners typically work 2,080 hours per year, though many positions offer part-time schedules with flexible hours across multiple practices.

Is San Jose, CA a good place to work as a nurse practitioner?

San Jose nurse practitioner salaries are 75.0% above the national average and 39.4% above the California state average. The metro area employs approximately 1,580 nurse practitioners. With a cost-of-living index of 110.423, you should factor in higher living costs when evaluating compensation. Job availability depends on population density, the number of practices, and retirement turnover in the area.

Can nurse practitioners make $100K in San Jose?

Yes — the median nurse practitioner salary in San Jose is already $239,549, meaning more than half of nurse practitioners here earn six figures. Top earners (90th percentile) make $293,188/year. Factors that push pay above $100K include years of experience, specialty certifications, and working at high-production practices or large organizations.

What is the cost-of-living adjusted nurse practitioner salary in San Jose?

After adjusting for San Jose's cost-of-living index of 110.423 (where 100 equals the national average), the $239,549 nominal salary has purchasing power equivalent to $216,938 in an average-cost city. This means living costs in San Jose reduce the effective value of your salary by 9.4% compared to the national average — consider negotiating higher base pay or exploring nearby lower-cost metros.

How much does a nurse practitioner make per hour in San Jose?

Nurse Practitioners in San Jose earn a median hourly rate of $115.17, which translates to approximately $239,549/year for full-time work (40 hours/week, 2,080 hours/year). Hourly rates range from $81.40 for entry-level positions to $140.95 for the most experienced practitioners. Part-time and per diem nurse practitioners sometimes command premium hourly rates because practices need flexible scheduling coverage.

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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

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 $231,560 for nurse practitionersin the San Jose 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

Source: BLS, OEWS, 6-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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