Nurse Practitioner Hourly Pay in Roanoke, VA: $67.11 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Roanoke, VA runs $67.11 at the median for 2026 — annualizing to $139,575 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Roanoke's regional price level (BEA RPP 93.6, 6% below national), each hour of work buys what $71.68 nationally would. A 24-hour part-time schedule grosses $83,751 per year.
Official BLS data · View source
In Roanoke, Virginia, the nurse practitioner hourly pay stands at a median of $67.11, slightly above the national median of $65.80. This competitive rate provides significant earning potential, especially for part-time and per-diem nurse practitioners who may work in various settings, such as primary care exam rooms, hospital outpatient clinics, and urgent care facilities. For those opting for part-time positions, such as a 3-day workweek, the average earnings can be substantial, dependent on the hours worked. Entry-level nurse practitioners in Roanoke can expect hourly wages starting at approximately $50.56, while top earners in the field can reach upwards of $73.37, reflecting the range of experience and specialization prevalent in this healthcare environment. This data comes from 2025 BLS OEWS figures, projected to 2026.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $50.56 | $404.45 |
| Lower Range (P25) | $57.33 | $458.66 |
| Median (P50) | $67.11 | $536.86 |
| Upper Range (P75) | $67.11 | $536.86 |
| Top Earners (P90) | $73.37 | $586.93 |
Estimated Annual Income by Work Schedule in Roanoke
Based on $67.11/hr median hourly rate · 2026 est.
At $67.11/hr, a nurse practitioner working full-time (40 hr/wk) in Roanoke, VA can expect to earn approximately $139,585 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $80,530. With a cost-of-living index of 93.62 (below the national average), these earnings stretch further in Roanoke.
Hourly Rate Calculator
Schedule Comparison in Roanoke
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,684.32 | $11,632 | $139,585 |
| Part-Time (24 hrs) | $1,610.59 | $6,979 | $83,751 |
| Per Diem (16 hrs) | $1,073.73 | $4,653 | $55,834 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Roanoke) | $67.11 |
| Registered Nurse (National Avg) | $42.80 |
| Physician Assistant (National Avg) | $63.20 |
| Nurse Anesthetist (National Avg) | $103.40 |
| Nurse Midwife (National Avg) | $63.85 |
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.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $67.11/hr = $83,751/year (purchasing power: $89,460).
Working 40h/week (full-time) = $139,585/year (purchasing power: $149,100).
CoL index: 93.618 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$48.95/hr
2025 BLS Actual
$64.87/hr
2026 Current Est.
$67.11/hr
2019–2027 Growth
+41.8%
Hourly Rate Trajectory for Nurse Practitioners in Roanoke (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $48.95/hr | Actual |
| 2020 | $49.73/hr | Actual |
| 2021 | $47.84/hr | Actual |
| 2022 | $50.49/hr | Actual |
| 2023 | $52.60/hr | Actual |
| 2024 | $58.67/hr | Actual |
| 2025 | $64.87/hr | Actual |
| 2026(current) | $67.11/hr | Estimated |
| 2027 | $69.42/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Roanoke grew 32.5% from $48.95/hr (2019) to $64.87/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $69.42/hr by 2027. Part-time and per-diem nurse practitioners can use this multi-year trend to benchmark future contract negotiations.
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.
Working as an Hourly Nurse Practitioner in Roanoke
The earnings potential for part-time nurse practitioners working approximately 24 hours a week can yield a noteworthy annual income, but it falls short compared to full-time salaries. The part-time practitioner may take home around $83,380 annually, a respectable figure compared to many professions, yet still less than what full-time professionals earn. The per diem nurse practitioner pay in Roanoke also varies widely, with locum tenens practitioners often billing between $80 and $140 per hour. On the higher end, psychiatric mental health nurse practitioners (PMHNPs) engaged in telehealth could command rates from $150 to $200 for asynchronous medication management. Hourly rates can differ based on employer type — ranging from retail clinics like CVS MinuteClinic and Walgreens to specialty clinics and telehealth platforms, implying a trade-off between hourly pay versus benefits such as health insurance. For those negotiating their hourly rate in Roanoke, emphasizing specialization, willing flexibility, and understanding the financial implications of benefits can lead to more favorable terms.
More salary data for Roanoke, VA:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Roanoke in 2026?
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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
Hourly wage 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 estimate current 2026 hourly rates for nurse practitioners in Roanoke. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
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