Nurse Practitioner Salary in West Virginia: $130,810 (2026)
Quick Answer:Across West Virginia's 11 metropolitan areas, the average median nurse practitioner pay sits at $130,810/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-1171. Because West Virginia sits at BEA RPP 86.5 (13% below the U.S. baseline), that statewide median translates to roughly $151,225 in nationally-comparable purchasing power. Highest-paying metros: Charleston ($129,260), Wheeling ($128,640), Morgantown ($128,130).

In 2026, the average median salary for nurse practitioners in West Virginia is projected at $130,809, which is about 4.4% lower than the national median of $136,864. Salaries vary significantly across metro areas, with Charleston offering the highest average at $133,719, while Clarksburg has the lowest at $121,421. This $12,298 difference can be attributed to factors such as local healthcare demand, cost of living, and available job opportunities in larger cities compared to smaller ones. West Virginia’s nurse practitioners must adhere to state licensing requirements, which include completing an accredited program and passing a national certification exam. The state allows for a fairly broad scope of practice, contributing to a growing demand for these healthcare professionals, especially in rural areas where access to medical services is often limited. The projected annual growth rate for nurse practitioner positions in the state stands at 3.45%, indicating a steady increase in job opportunities. With a total of 1,899 nurse practitioners employed in the state, cities like Wheeling ($133,078), Morgantown ($132,550), Martinsburg ($131,238), and Parkersburg ($130,916) also show promising salary figures and demand for professionals in this field, creating a favorable job market outlook in West Virginia.
West Virginia Nurse Practitioner Salary Range
Overall salary range in West Virginia: $98,981 (lowest entry-level) to $164,310 (highest top earner)
West Virginia vs National Average
West Virginia nurse practitioners earn 4.42% less than the national median ($-6,054/year difference).
West Virginia Nurse Practitioner Salary Distribution (2026)
Nurse Practitioner salaries in West Virginia range from $102,446 (entry-level, 10th percentile) to $158,848 (top earners, 90th percentile), with a median of $130,810. The West Virginia median is $6,054 below the US national median of $136,864. The average hourly rate is $62.89/hr. Approximately 1,899 nurse practitioners are employed across 11 cities.
2019 BLS Actual
$98,893
2025 BLS Actual
$126,447
2026 Current Est.
$130,810
2019–2027 Growth
+36.8%
Salary Trajectory for Nurse Practitioners in West Virginia (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $98,893 | Actual |
| 2020 | $103,037 | Actual |
| 2021 | $100,216 | Actual |
| 2022 | $103,042 | Actual |
| 2023 | $110,816 | Actual |
| 2024 | $120,629 | Actual |
| 2025 | $126,447 | Actual |
| 2026(current) | $130,810 | Estimated |
| 2027 | $135,323 | Projected |
Based on 7 years of BLS OEWS data for the West Virginia metropolitan area, the median nurse practitioner salary grew 27.9% from $98,893 (2019) to $126,447 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $135,323 by 2027 — a total increase of $36,430 (36.84%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the West 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 West Virginia
Lowest Paying Cities in West Virginia
| City | Median Salary |
|---|---|
| Clarksburg | $121,421 |
| Weirton | $121,450 |
| Fairmont | $121,826 |
| South Charleston | $125,409 |
| Beckley | $129,095 |
Best Value Cities for Nurse Practitioners in West Virginia
When adjusted for local cost of living, these West Virginia cities offer the most purchasing power for nurse practitioners.
| City | Nominal Salary | CoL Index | Adjusted Salary |
|---|---|---|---|
| Martinsburg | $131,238 | 86.5 | $151,720 |
| Charleston | $133,719 | 88.717 | $150,725 |
| Wheeling | $133,078 | 88.323 | $150,672 |
| Parkersburg | $130,916 | 87.066 | $150,364 |
| Huntington | $130,119 | 88.422 | $147,157 |
Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.
Salary by Experience Level in West Virginia
| Experience Level | Estimated Annual |
|---|---|
| Entry Level (0-2 years) | $102,446 |
| Mid Career (3-7 years) | $130,810 |
| Experienced (7+ years) | $158,848 |
Estimates based on BLS percentile data averaged across West Virginia metro areas. Individual pay varies by employer, certifications, and specialization.
All 11 Cities in West Virginia
| # | City | Median Salary |
|---|---|---|
| 1 | Charleston | $133,719 |
| 2 | Wheeling | $133,078 |
| 3 | Morgantown | $132,550 |
| 4 | Martinsburg | $131,238 |
| 5 | Parkersburg | $130,916 |
| 6 | Huntington | $130,119 |
| 7 | Beckley | $129,095 |
| 8 | South Charleston | $125,409 |
| 9 | Fairmont | $121,826 |
| 10 | Weirton | $121,450 |
| 11 | Clarksburg | $121,421 |
More West Virginia Salary Data
Hourly Rates
Explore nurse practitioner hourly pay in West 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 West Virginia in 2026?
What is the highest paying city for nurse practitioners in West Virginia?
How does West Virginia nurse practitioner pay compare to the national average?
What is the entry-level nurse practitioner salary in West Virginia?
How many nurse practitioners are employed in West Virginia?
Which West 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 West Virginia. State averages are employment-weighted across 11 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