Nurse Practitioner Salary in Johnston, IA: $124,190 (2026)
Quick Answer:A full-time nurse practitioner in Johnston, IA earns a median $124,190/year (≈ $59.71/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Johnston's price level (10% below national, BEA RPP 90.4), that paycheck buys what $137,378 would nationally. Nominal pay sits 7.2% below the Iowa state average.
Based on BLS state-level estimates · View source
In 2026, the nurse practitioner salary in Johnston, IA is projected to reach a median of $124,190, which is around 9.26% lower than the national median of $136,864. The salary range spans from $104,302 at the 10th percentile to $158,042 at the 90th percentile, reflecting the diverse roles and responsibilities that nurse practitioners take on in the area. These figures are based on estimates derived from 2025 BLS data, adjusted for regional price variations. The dynamics of Johnston's job market allow for competitive compensation, particularly for those practitioners who hold full-practice authority, as they can operate independently without the need for collaboration agreements, which is a significant advantage over restricted-practice areas.
About the Johnston Market
Salary estimated from Iowa average ($125,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $104,302 | $50.14 |
| Lower Range (P25) | $115,534 | $55.54 |
| Median (P50)(typical) | $124,190 | $59.71 |
| Upper Range (P75) | $146,075 | $70.23 |
| Top Earners (P90) | $158,042 | $75.98 |
Median Salary Position
9.26% below the national average
2026 Salary Percentile Distribution in Johnston
In Johnston, IA, the nurse practitioner salary spread from the 10th to 90th percentile is $53,740 (2026 est.). At $124,190, the local median is 9.26% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Johnston: You'd be in the lower-middle range
How Johnston Nurse Practitioner Pay Compares
Johnston median: $124,190/year (2026)
| Compared To | Median Salary | Johnston Pays |
|---|---|---|
| Iowa Average | $133,825 | -7.20% less |
| National Average | $136,864 | -9.26% less |
Nurse Practitioners in Johnston, IA earn a median of $124,190 per year (2026 est.), which is 9.26% lower than the national median of $136,864 and 7.20% below the Iowa state average of $133,825.
Cost-of-Living Adjusted Salary
Johnston has a cost of living 9.60% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Johnston, IA has a cost-of-living index of 90.4 (below the national average of 100). A nurse practitioner earning $124,190 nominally has purchasing power equivalent to $137,378 in an average-cost city — an effective 10.62% boost.
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2019 BLS Actual
$99,650
2025 BLS Actual
$120,048
2026 Current Est.
$124,190
2019–2027 Growth
+28.9%
Salary Trajectory for Nurse Practitioners in Johnston (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $99,650 | Actual |
| 2020 | $101,338 | Actual |
| 2021 | $109,504 | Actual |
| 2022 | $110,348 | Actual |
| 2023 | $114,567 | Actual |
| 2024 | $104,882 | Actual |
| 2025 | $120,048 | Actual |
| 2026(current) | $124,190 | Estimated |
| 2027 | $128,474 | Projected |
Based on 7 years of BLS OEWS data for the Johnston metropolitan area, the median nurse practitioner salary grew 20.5% from $99,650 (2019) to $120,048 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $128,474 by 2027 — a total increase of $28,824 (28.93%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Johnston 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) | $104,302 – $115,534 |
| 3-5 years (Mid Career) | $115,534 – $124,190 |
| 5+ years (Experienced) | $124,190 – $146,075 |
| 10+ years (Top Earner) | $146,075 – $158,042 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Johnston
Analyzing the local job market, there are currently four nurse practitioners employed in Johnston, indicating a specialized environment that can foster individual growth and support. The cost of living index stands at 90.4, which is below the national average, enhancing the purchasing power of nurse practitioner pay in Johnston, IA. Among local employers, primary care practices often yield higher pay, followed by specialty clinics that focus on population health, especially for psychiatric mental health nurse practitioners (PMHNPs). To maximize income, aspiring nurse practitioners should consider obtaining certifications that align with high-demand specialties while also pursuing opportunities that offer productivity bonuses based on performance metrics. Additionally, engaging with telehealth platforms can supplement income through locum work, further expanding potential salaries in this evolving healthcare landscape.
More salary data for Johnston, IA:
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 $120,048 for nurse practitionersin the Johnston 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 Johnston 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