Nurse Practitioner Salary in Fredericksburg, TX: $125,756 (2026)
Quick Answer:A full-time nurse practitioner in Fredericksburg, TX earns a median $125,756/year (≈ $60.46/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Fredericksburg's price level (4% below national, BEA RPP 96.0), that paycheck buys what $130,996 would nationally. Nominal pay sits 5.9% below the Texas state average.
Based on BLS state-level estimates · View source
In Fredericksburg, Texas, the projected median salary for nurse practitioners is reported at $125,756 in 2026, reflecting a competitive market for healthcare providers in the region. The salary range for this occupation spans from $104,745 at the 10th percentile to $159,372 at the 90th percentile, indicating a significant variance in earnings based on experience and specialty. These figures are derived from 2025 BLS data, adjusted for regional cost of living factors, which remain a crucial element in understanding compensation structures. While Fredericksburg's salaries are lower than the national median of $136,864, the local market is expected to maintain a solid growth rate of 3.45% annually, enabling nurse practitioners to find rewarding opportunities if they align their practice settings appropriately.
About the Fredericksburg Market
Salary estimated from Texas average ($130,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $104,745 | $50.36 |
| Lower Range (P25) | $116,356 | $55.95 |
| Median (P50)(typical) | $125,756 | $60.46 |
| Upper Range (P75) | $147,133 | $70.74 |
| Top Earners (P90) | $159,372 | $76.63 |
Median Salary Position
8.12% below the national average
2026 Salary Percentile Distribution in Fredericksburg
In Fredericksburg, TX, the nurse practitioner salary spread from the 10th to 90th percentile is $54,627 (2026 est.). At $125,756, the local median is 8.12% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Fredericksburg: You'd be in the lower-middle range
How Fredericksburg Nurse Practitioner Pay Compares
Fredericksburg median: $125,756/year (2026)
| Compared To | Median Salary | Fredericksburg Pays |
|---|---|---|
| Texas Average | $133,641 | -5.90% less |
| National Average | $136,864 | -8.12% less |
Nurse Practitioners in Fredericksburg, TX earn a median of $125,756 per year (2026 est.), which is 8.12% lower than the national median of $136,864 and 5.90% below the Texas state average of $133,641.
Cost-of-Living Adjusted Salary
Fredericksburg 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.
Fredericksburg, TX has a cost-of-living index of 96 (below the national average of 100). A nurse practitioner earning $125,756 nominally has purchasing power equivalent to $130,996 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$100,907
2025 BLS Actual
$121,562
2026 Current Est.
$125,756
2019–2027 Growth
+28.9%
Salary Trajectory for Nurse Practitioners in Fredericksburg (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $100,907 | Actual |
| 2020 | $102,616 | Actual |
| 2021 | $110,885 | Actual |
| 2022 | $111,740 | Actual |
| 2023 | $116,012 | Actual |
| 2024 | $117,495 | Actual |
| 2025 | $121,562 | Actual |
| 2026(current) | $125,756 | Estimated |
| 2027 | $130,094 | Projected |
Based on 7 years of BLS OEWS data for the Fredericksburg metropolitan area, the median nurse practitioner salary grew 20.5% from $100,907 (2019) to $121,562 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $130,094 by 2027 — a total increase of $29,187 (28.92%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fredericksburg 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) | $104,745 – $116,356 |
| 3-5 years (Mid Career) | $116,356 – $125,756 |
| 5+ years (Experienced) | $125,756 – $147,133 |
| 10+ years (Top Earner) | $147,133 – $159,372 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Fredericksburg
The job market for nurse practitioners in Fredericksburg is relatively small, with only five professionals currently employed in the area. The cost of living is notably lower than the national average, with a cost-of-living index of 96, enhancing the purchasing power for those who live and work here. Among local employers, hospital outpatient clinics and specialty clinics tend to offer the highest compensation, driven by the need for specialized services, particularly in mental health. Differences in earnings often stem from the type of practice setting, patient demographics, and the potential for productivity-based bonuses. To maximize nurse practitioner pay in Fredericksburg, it's advisable to consider positions that allow for full-practice authority, seek out practice settings with higher patient volumes, or explore telehealth options that can supplement income through 1099 arrangements while maintaining flexibility.
More salary data for Fredericksburg, 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 $121,562 for nurse practitionersin the Fredericksburg 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 Fredericksburg 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