Nurse practitioner salary in North Carolina
The median nurse practitioner in North Carolina earned $128,990 a year in 2025, $3,310 (3%) below the $132,300 national median. That ranks 38th of 51 states.
- Median yearly pay
- $128,990
- Average yearly pay
- $130,870
- Employed in North Carolina
- 9,800
How North Carolina compares
BLS Occupational Employment and Wage Statistics, May 2025, state estimates. Pay is before tax and does not adjust for cost of living, which is higher in some states than others.
Nursing pay in North Carolina
| Role | Median yearly pay | Employed |
|---|---|---|
| Registered nurse | $84,350 | 111,120 |
| LPN or LVN | $63,270 | 18,010 |
| Nurse practitioner | $128,990 | 9,800 |
A nurse practitioner in North Carolina earns a median $44,640 more than a registered nurse ($128,990 against $84,350). A registered nurse earns a median $21,080 more than an LPN or LVN here ($84,350 against $63,270).
Next steps
Common questions
How much does a nurse practitioner make in North Carolina?
The median is $128,990 a year, according to BLS data for May 2025. Half of nurse practitioners in North Carolina earn more and half earn less.
Is North Carolina a high-paying state for nurse practitioners?
North Carolina ranks 38th of 51 states on median pay for this job. The national median is $132,300, so North Carolina pays 3% below it. The highest median is $168,520 in California.
How many nurse practitioners work in North Carolina?
BLS counted 9,800 nurse practitioners employed in North Carolina in May 2025.
Why is the average different from the median?
The median is the middle wage: half of workers earn less. The average adds every wage and divides, so a few very high earners pull it up. In North Carolina the average is $130,870, $1,880 above the median.
What do you need to work as a nurse practitioner in North Carolina?
North Carolina requires an RN license plus a master’s or doctoral degree in an advanced practice specialty, with a license from the North Carolina Board of Nursing.