Nurse Practitioner Salary in Missoula, MT: $136,192 (2026)
Quick Answer:A full-time nurse practitioner in Missoula, MT earns a median $136,192/year (≈ $65.47/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Missoula's price level (4% below national, BEA RPP 96.4), that paycheck buys what $141,212 would nationally. Nominal pay sits 3.5% below the Montana state average.
Official BLS data · View source

In 2026, nurse practitioners in Missoula, Montana, can expect a median annual salary of $136,192, reflecting the state's full-practice authority that allows NPs to work independently without a supervising physician. This compensation sits slightly below the national median of $136,864, suggesting a competitive pay scale considering local living conditions. The projected salary range extends from $110,247 at the P10 to $161,154 at the P90, indicating a significant variance in earnings based on experience and specialty. These figures are derived from the official Bureau of Labor Statistics (BLS) Occupational Employment and Wage Statistics (OEWS) surveys, providing insight into the job market for nurse practitioners in the region.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $110,247 | $53.01 |
| Lower Range (P25) | $128,526 | $61.79 |
| Median (P50)(typical) | $136,192 | $65.47 |
| Upper Range (P75) | $143,185 | $68.84 |
| Top Earners (P90) | $161,154 | $77.47 |
Median Salary Position
0.49% below the national average
2026 Salary Percentile Distribution in Missoula
In Missoula, MT, the nurse practitioner salary spread from the 10th to 90th percentile is $50,907 (2026 est.). At $136,192, the local median is 0.49% below the national median of $136,864.
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At 40 hours/week in Missoula: You'd be above the median
How Missoula Nurse Practitioner Pay Compares
Missoula median: $136,192/year (2026)
| Compared To | Median Salary | Missoula Pays |
|---|---|---|
| Montana Average | $141,132 | -3.50% less |
| National Average | $136,864 | -0.49% less |
Nurse Practitioners in Missoula, MT earn a median of $136,192 per year (2026 est.), which is 0.49% lower than the national median of $136,864 and 3.50% below the Montana state average of $141,132.
Cost-of-Living Adjusted Salary
Missoula has a cost of living 3.56% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Missoula, MT has a cost-of-living index of 96.445 (below the national average of 100). A nurse practitioner earning $136,192 nominally has purchasing power equivalent to $141,212 in an average-cost city — an effective 3.69% boost.
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2019 BLS Actual
$103,570
2025 BLS Actual
$131,650
2026 Current Est.
$136,192
2019–2027 Growth
+36.0%
Salary Trajectory for Nurse Practitioners in Missoula (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $103,570 | Actual |
| 2020 | $109,970 | Actual |
| 2021 | $102,060 | Actual |
| 2022 | $111,410 | Actual |
| 2023 | $123,250 | Actual |
| 2024 | $127,920 | Actual |
| 2025 | $131,650 | Actual |
| 2026(current) | $136,192 | Estimated |
| 2027 | $140,891 | Projected |
Based on 7 years of BLS OEWS data for the Missoula metropolitan area, the median nurse practitioner salary grew 27.1% from $103,570 (2019) to $131,650 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $140,891 by 2027 — a total increase of $37,321 (36.03%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Missoula 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) | $110,247 – $128,526 |
| 3-5 years (Mid Career) | $128,526 – $136,192 |
| 5+ years (Experienced) | $136,192 – $143,185 |
| 10+ years (Top Earner) | $143,185 – $161,154 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Missoula
With approximately 140 nurse practitioners currently employed in Missoula, the local job market demonstrates a robust demand for advanced practice professionals amidst a cost-of-living index of 96.445, which is favorable compared to the national average. Major employers in the area include hospital outpatient clinics and primary care practices, with urgent care chains and retail clinics also offering competitive salaries. Factors influencing the range of nurse practitioner pay in Missoula comprise the growing demand for specialties like Psychiatric Mental Health Nurse Practitioners, as well as the potential for productivity bonuses based on visit counts or relative value units (RVUs). NPs looking to maximize their income may benefit from pursuing niche specialties and considering telehealth opportunities, which can supplement earnings through 1099 arrangements or locum tenens work. Understanding the dynamics of this market is essential for those exploring how much do nurse practitioners make in Missoula.
More salary data for Missoula, MT:
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 $131,650 for nurse practitionersin the Missoula 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, 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