Nurse Practitioner Salary in Virginia: $132,675 (2026)
Quick Answer:Across Virginia's 42 metropolitan areas, the average median nurse practitioner pay sits at $132,675/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-1171. Because Virginia sits at BEA RPP 103.2 (3% above the U.S. baseline), that statewide median translates to roughly $128,561 in nationally-comparable purchasing power. Highest-paying metros: Charlottesville ($142,950), Roanoke ($134,920), Alexandria ($133,702).
Salaries for nurse practitioners in Virginia are projected to average $132,675 in 2026, slightly below the national median of $136,864 by approximately 3.1%. There is a significant variation among cities; the highest-paying locality is Charlottesville, where NPs can expect to earn $147,882, while Falls Church offers the lowest salary at $119,912. This $27,970 salary gap is influenced by factors such as cost of living, local healthcare demands, and the concentration of healthcare facilities, particularly in urban areas. Virginia’s licensing requirements allow for a collaborative practice model, which impacts the scope of practice for nurse practitioners. As the healthcare landscape evolves, the demand for NPs is expected to grow at an annual rate of 3.45%, reflecting increasing recognition of their roles in patient care and the overall workforce shortages in healthcare. Job opportunities are promising across various regions, with top projected salaries in cities like Roanoke at $139,575, Alexandria at $138,315, and Winchester at $135,209. This positive outlook coupled with favorable licensing laws positions nurse practitioners well in Virginia’s healthcare sector, making it a viable state for those pursuing this profession.
Virginia Nurse Practitioner Salary Range
Overall salary range in Virginia: $90,632 (lowest entry-level) to $192,334 (highest top earner)
Virginia vs National Average
Virginia nurse practitioners earn 3.06% less than the national median ($-4,189/year difference).
Virginia Nurse Practitioner Salary Distribution (2026)
Nurse Practitioner salaries in Virginia range from $103,319 (entry-level, 10th percentile) to $160,242 (top earners, 90th percentile), with a median of $132,675. The Virginia median is $4,189 below the US national median of $136,864. The average hourly rate is $63.79/hr. Approximately 4,830 nurse practitioners are employed across 42 cities.
2019 BLS Actual
$105,041
2025 BLS Actual
$128,250
2026 Current Est.
$132,675
2019–2027 Growth
+30.7%
Salary Trajectory for Nurse Practitioners in Virginia (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $105,041 | Actual |
| 2020 | $104,512 | Actual |
| 2021 | $102,453 | Actual |
| 2022 | $108,171 | Actual |
| 2023 | $122,367 | Actual |
| 2024 | $124,460 | Actual |
| 2025 | $128,250 | Actual |
| 2026(current) | $132,675 | Estimated |
| 2027 | $137,252 | Projected |
Based on 7 years of BLS OEWS data for the Virginia metropolitan area, the median nurse practitioner salary grew 22.1% from $105,041 (2019) to $128,250 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $137,252 by 2027 — a total increase of $32,211 (30.67%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Virginia 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.
Top 5 Highest Paying Cities in Virginia
Lowest Paying Cities in Virginia
| City | Median Salary |
|---|---|
| Falls Church | $119,912 |
| Herndon | $121,819 |
| Williamsburg | $123,149 |
| Annandale | $123,386 |
| Waynesboro | $123,549 |
Best Value Cities for Nurse Practitioners in Virginia
When adjusted for local cost of living, these Virginia cities offer the most purchasing power for nurse practitioners.
| City | Nominal Salary | CoL Index | Adjusted Salary |
|---|---|---|---|
| Charlottesville | $147,882 | 99.146 | $149,156 |
| Roanoke | $139,575 | 93.618 | $149,090 |
| Staunton | $130,047 | 91.128 | $142,708 |
| Winchester | $135,209 | 96.45 | $140,186 |
| Lynchburg | $124,874 | 89.363 | $139,738 |
Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.
Salary by Experience Level in Virginia
| Experience Level | Estimated Annual |
|---|---|
| Entry Level (0-2 years) | $103,319 |
| Mid Career (3-7 years) | $132,675 |
| Experienced (7+ years) | $160,242 |
Estimates based on BLS percentile data averaged across Virginia metro areas. Individual pay varies by employer, certifications, and specialization.
All 42 Cities in Virginia
| # | City | Median Salary |
|---|---|---|
| 1 | Charlottesville | $147,882 |
| 2 | Roanoke | $139,575 |
| 3 | Alexandria | $138,315 |
| 4 | Winchester | $135,209 |
| 5 | Richmond | $132,230 |
| 6 | Radford | $131,363 |
| 7 | Newport News | $131,059 |
| 8 | Norfolk | $130,748 |
| 9 | Staunton | $130,047 |
| 10 | Hampton | $129,902 |
| 11 | Chesapeake | $129,326 |
| 12 | Centreville | $129,298 |
| 13 | Blacksburg | $129,106 |
| 14 | Virginia Beach | $128,826 |
| 15 | Burke | $128,421 |
| 16 | Suffolk | $127,866 |
| 17 | Tuckahoe | $127,503 |
| 18 | Ashburn | $127,320 |
| 19 | McLean | $127,311 |
| 20 | Reston | $127,176 |
| 21 | Danville | $127,149 |
| 22 | Fredericksburg | $126,605 |
| 23 | Dale City | $126,578 |
| 24 | Harrisonburg | $126,561 |
| 25 | Manassas | $126,443 |
| 26 | Salem | $126,090 |
| 27 | Leesburg | $125,909 |
| 28 | Portsmouth | $125,837 |
| 29 | Mechanicsville | $125,636 |
| 30 | Bristol | $125,376 |
| 31 | Springfield | $125,192 |
| 32 | Woodbridge | $125,020 |
| 33 | Lynchburg | $124,874 |
| 34 | Sterling | $124,778 |
| 35 | Lake Ridge | $124,617 |
| 36 | Linton Hall | $124,475 |
| 37 | Fairfax | $124,157 |
| 38 | Waynesboro | $123,549 |
| 39 | Annandale | $123,386 |
| 40 | Williamsburg | $123,149 |
| 41 | Herndon | $121,819 |
| 42 | Falls Church | $119,912 |
More Virginia Salary Data
Hourly Rates
Explore nurse practitioner hourly pay in Virginia cities.
Senior / Experienced
Top earner salaries for experienced nurse practitioners.
Explore More Nurse Practitioner Salary Data
Frequently Asked Questions
How much do nurse practitioners make in Virginia in 2026?
What is the highest paying city for nurse practitioners in Virginia?
How does Virginia nurse practitioner pay compare to the national average?
What is the entry-level nurse practitioner salary in Virginia?
How many nurse practitioners are employed in Virginia?
Which Virginia city offers the best value for nurse practitioners?
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
Statewide 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. A 3.45% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to each metro area's reported salary to estimate current 2026 nurse practitioner compensation across Virginia. State averages are employment-weighted across 42 metro areas — larger metro areas with more nurse practitionerscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.
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