Nurse Practitioner Salary in Fort Worth, TX: $134,615 (2026)
Quick Answer:A full-time nurse practitioner in Fort Worth, TX earns a median $134,615/year (≈ $64.72/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Fort Worth's price level (4% below national, BEA RPP 96.0), that paycheck buys what $140,224 would nationally. Nominal pay sits 0.8% above the Texas state average.
Based on BLS state-level estimates · View source
In Fort Worth, TX, the 2026 estimated median annual salary for nurse practitioners is $134,615, slightly trailing the national median of $136,864. The salary range for these professionals in the area goes from $102,462 at the tenth percentile to $188,280 at the ninetieth percentile, reflecting a significant variation that may correspond to specialty practices. Nurse practitioners who specialize in psychiatry (PMHNP) typically command higher salaries compared to family nurse practitioners (FNP) and adult-gerontology acute care nurse practitioners (AGACNP) due to the increasing demand for mental health services. These figures are based on 2025 BLS data, projected to 2026, and take into account state-level estimates and regional cost adjustments, which play a critical role in shaping nurse practitioner pay in Fort Worth.
About the Fort Worth Market
Salary estimated from Texas average ($130,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $102,462 | $49.26 |
| Lower Range (P25) | $119,451 | $57.43 |
| Median (P50)(typical) | $134,615 | $64.72 |
| Upper Range (P75) | $165,121 | $79.39 |
| Top Earners (P90) | $188,280 | $90.52 |
Median Salary Position
1.64% below the national average
2026 Salary Percentile Distribution in Fort Worth
In Fort Worth, TX, the nurse practitioner salary spread from the 10th to 90th percentile is $85,818 (2026 est.). At $134,615, the local median is 1.64% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Fort Worth: You'd be in the lower-middle range
How Fort Worth Nurse Practitioner Pay Compares
Fort Worth median: $134,615/year (2026)
| Compared To | Median Salary | Fort Worth Pays |
|---|---|---|
| Texas Average | $133,547 | +0.80% more |
| National Average | $136,864 | -1.64% less |
Nurse Practitioners in Fort Worth, TX earn a median of $134,615 per year (2026 est.), which is 1.64% lower than the national median of $136,864 and 0.80% above the Texas state average of $133,547.
Cost-of-Living Adjusted Salary
Fort Worth has a cost of living 4.00% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Fort Worth, TX has a cost-of-living index of 96 (below the national average of 100). A nurse practitioner earning $134,615 nominally has purchasing power equivalent to $140,224 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$108,015
2025 BLS Actual
$130,126
2026 Current Est.
$134,615
2019–2027 Growth
+28.9%
Salary Trajectory for Nurse Practitioners in Fort Worth (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $108,015 | Actual |
| 2020 | $109,845 | Actual |
| 2021 | $118,697 | Actual |
| 2022 | $119,612 | Actual |
| 2023 | $124,185 | Actual |
| 2024 | $133,905 | Actual |
| 2025 | $130,126 | Actual |
| 2026(current) | $134,615 | Estimated |
| 2027 | $139,260 | Projected |
Based on 7 years of BLS OEWS data for the Fort Worth metropolitan area, the median nurse practitioner salary grew 20.5% from $108,015 (2019) to $130,126 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $139,260 by 2027 — a total increase of $31,245 (28.93%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fort Worth 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) | $102,462 – $119,451 |
| 3-5 years (Mid Career) | $119,451 – $134,615 |
| 5+ years (Experienced) | $134,615 – $165,121 |
| 10+ years (Top Earner) | $165,121 – $188,280 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Fort Worth
The local job market for nurse practitioners in Fort Worth is robust, with 219 practitioners employed in the area, evidence of a strong healthcare demand. With a cost-of-living index of 96, affordability in Fort Worth offers decent purchasing power to the salaries earned. Among various employers, hospital outpatient clinics and specialty clinics typically offer the highest compensation, while primary care practices and urgent care chains also provide competitive pay structures. A key driver of the salary spread includes the scope of practice—full-practice authority affects earnings, with PMHNPs often benefitting from higher salaries, followed by AGACNPs and FNPs. Strategies for maximizing nurse practitioner income in this market include pursuing higher specialty certifications, seeking employment in high-paying clinical settings, and exploring telehealth opportunities, which can supplement income through flexibility and additional pay structures, including productivity bonuses.
More salary data for Fort Worth, TX:
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 $130,126 for nurse practitionersin the Fort Worth 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 Fort Worth 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