Nurse Practitioner Salary in Richmond, VA: $132,230 (2026)
Quick Answer:A full-time nurse practitioner in Richmond, VA earns a median $132,230/year (≈ $63.57/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Richmond's price level (2% below national, BEA RPP 97.9), that paycheck buys what $135,124 would nationally. Nominal pay sits 1.7% above the Virginia state average.
Official BLS data · View source
In 2026, the nurse practitioner salary in Richmond, VA, is projected to reach a median of $132,230, reflecting a competitive position within the healthcare job market. This figure is slightly below the national median of $136,864, indicating a pay structure that provides significant opportunities depending on specialization. Nurse practitioners in Richmond can expect to see a salary range from $100,057 at the 10th percentile to $152,703 at the 90th percentile, illustrating the potential for considerable variance in earnings based on factors like specialty certification and care delivery setting. The data, derived from projections based on 2025 BLS OEWS data, reveals how Richmond supports a robust employment climate for NPs, offering varied compensation linked to specific roles in outpatient clinics, urgent care, and specialty practices.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $100,057 | $48.10 |
| Lower Range (P25) | $111,550 | $53.63 |
| Median (P50)(typical) | $132,230 | $63.57 |
| Upper Range (P75) | $140,082 | $67.35 |
| Top Earners (P90) | $152,703 | $73.42 |
Median Salary Position
3.39% below the national average
2026 Salary Percentile Distribution in Richmond
In Richmond, VA, the nurse practitioner salary spread from the 10th to 90th percentile is $52,646 (2026 est.). At $132,230, the local median is 3.39% below the national median of $136,864.
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At 40 hours/week in Richmond: You'd be above the median
How Richmond Nurse Practitioner Pay Compares
Richmond median: $132,230/year (2026)
| Compared To | Median Salary | Richmond Pays |
|---|---|---|
| Virginia Average | $130,019 | +1.70% more |
| National Average | $136,864 | -3.39% less |
Nurse Practitioners in Richmond, VA earn a median of $132,230 per year (2026 est.), which is 3.39% lower than the national median of $136,864 and 1.70% above the Virginia state average of $130,019.
Cost-of-Living Adjusted Salary
Richmond has a cost of living 2.14% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Richmond, VA has a cost-of-living index of 97.858 (below the national average of 100). A nurse practitioner earning $132,230 nominally has purchasing power equivalent to $135,124 in an average-cost city — an effective 2.19% boost.
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2019 BLS Actual
$112,100
2025 BLS Actual
$127,820
2026 Current Est.
$132,230
2019–2027 Growth
+22.0%
Salary Trajectory for Nurse Practitioners in Richmond (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $112,100 | Actual |
| 2020 | $107,820 | Actual |
| 2021 | $105,240 | Actual |
| 2022 | $110,750 | Actual |
| 2023 | $126,410 | Actual |
| 2024 | $124,990 | Actual |
| 2025 | $127,820 | Actual |
| 2026(current) | $132,230 | Estimated |
| 2027 | $136,792 | Projected |
Based on 7 years of BLS OEWS data for the Richmond metropolitan area, the median nurse practitioner salary grew 14.0% from $112,100 (2019) to $127,820 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $136,792 by 2027 — a total increase of $24,692 (22.03%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Richmond 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) | $100,057 – $111,550 |
| 3-5 years (Mid Career) | $111,550 – $132,230 |
| 5+ years (Experienced) | $132,230 – $140,082 |
| 10+ years (Top Earner) | $140,082 – $152,703 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Richmond
Analyzing the local job market, Richmond is home to approximately 1,440 nurse practitioners, who benefit from a cost of living index of 97.858, which is below the national average. This situation enhances take-home purchasing power, making the salary structure more attractive. Among local employers, high-paying sectors include hospital outpatient clinics and telehealth platforms, where productivity bonuses can significantly boost earnings beyond base salaries. Factors influencing the pay spread among NPs include specialization preferences, where psychiatric-mental health nurse practitioners (PMHNP) typically command higher wages, and the degree of practice authority in Virginia. For nurse practitioners looking to maximize their pay in Richmond, focusing on high-demand specialties, considering independent practice options, and pursuing diverse income streams like telehealth can be effective strategies. The evolving healthcare landscape in the area means that opportunities for growth and financial advancement are abundant for those who strategically navigate their careers.
More salary data for Richmond, VA:
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 $127,820 for nurse practitionersin the Richmond 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