Nurse Practitioner Salary in Roanoke, VA: $139,575 (2026)
Quick Answer:A full-time nurse practitioner in Roanoke, VA earns a median $139,575/year (≈ $67.11/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Roanoke's price level (6% below national, BEA RPP 93.6), that paycheck buys what $149,090 would nationally. Nominal pay sits 7.3% above the Virginia state average.
Official BLS data · View source
Nurse practitioners in Roanoke, Virginia, can anticipate a competitive 2026 median annual salary of $139,575, positioning them slightly above the national average of $136,864. The salary range for these professionals spans from $105,147 at the lower decile (P10) to $152,609 at the upper decile (P90). This data is derived from 2025 BLS OEWS surveys, projecting the income dynamics for 2026. Given the healthcare shifts in Roanoke, opportunities in telehealth versus traditional W-2 clinic settings can also create significant differences in compensation. The choice between employment structures could thus yield hourly rates that reflect the evolving landscape of nurse practitioner pay in Roanoke, VA.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $105,147 | $50.56 |
| Lower Range (P25) | $119,247 | $57.33 |
| Median (P50)(typical) | $139,575 | $67.11 |
| Upper Range (P75) | $139,575 | $67.11 |
| Top Earners (P90) | $152,609 | $73.37 |
Median Salary Position
1.98% above the national average
2026 Salary Percentile Distribution in Roanoke
In Roanoke, VA, the nurse practitioner salary spread from the 10th to 90th percentile is $47,462 (2026 est.). At $139,575, the local median is 1.98% above the national median of $136,864.
Salary Calculator
At 40 hours/week in Roanoke: You'd be above the median
How Roanoke Nurse Practitioner Pay Compares
Roanoke median: $139,575/year (2026)
| Compared To | Median Salary | Roanoke Pays |
|---|---|---|
| Virginia Average | $130,079 | +7.30% more |
| National Average | $136,864 | +1.98% more |
Nurse Practitioners in Roanoke, VA earn a median of $139,575 per year (2026 est.), which is 1.98% higher than the national median of $136,864 and 7.30% above the Virginia state average of $130,079.
Cost-of-Living Adjusted Salary
Roanoke has a cost of living 6.38% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Roanoke, VA has a cost-of-living index of 93.618 (below the national average of 100). A nurse practitioner earning $139,575 nominally has purchasing power equivalent to $149,090 in an average-cost city — an effective 6.82% boost.
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2019 BLS Actual
$101,820
2025 BLS Actual
$134,920
2026 Current Est.
$139,575
2019–2027 Growth
+41.8%
Salary Trajectory for Nurse Practitioners in Roanoke (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $101,820 | Actual |
| 2020 | $103,440 | Actual |
| 2021 | $99,510 | Actual |
| 2022 | $105,010 | Actual |
| 2023 | $109,400 | Actual |
| 2024 | $122,030 | Actual |
| 2025 | $134,920 | Actual |
| 2026(current) | $139,575 | Estimated |
| 2027 | $144,390 | Projected |
Based on 7 years of BLS OEWS data for the Roanoke metropolitan area, the median nurse practitioner salary grew 32.5% from $101,820 (2019) to $134,920 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $144,390 by 2027 — a total increase of $42,570 (41.81%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Roanoke 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) | $105,147 – $119,247 |
| 3-5 years (Mid Career) | $119,247 – $139,575 |
| 5+ years (Experienced) | $139,575 – $139,575 |
| 10+ years (Top Earner) | $139,575 – $152,609 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Roanoke
Analyzing the local job market reveals that approximately 440 nurse practitioners are currently employed in the Roanoke area. With a cost-of-living index of 93.618, wages here afford a better purchasing power compared to higher-cost locales, making it an attractive hub for practitioners. Employers, including hospital outpatient clinics and urgent care chains, often offer some of the best compensation packages. The disparity in salaries is driven by numerous factors, such as specialty focus—where mental health nurse practitioners typically receive higher pay—and the influence of state regulations on practice authority. To maximize earnings in Roanoke, NPs should consider pursuing specialized certifications and aligning themselves with employers who provide productivity bonuses or supplemental income opportunities through telehealth engagements. Understanding the nuances of the local market will help enhance overall earnings in this growing field.
More salary data for Roanoke, 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 $134,920 for nurse practitionersin the Roanoke 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