Nurse Practitioner Salary in Great Falls, MT: $134,826 (2026)
Quick Answer:A full-time nurse practitioner in Great Falls, MT earns a median $134,826/year (≈ $64.82/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Great Falls's price level (3% below national, BEA RPP 96.8), that paycheck buys what $139,218 would nationally. Nominal pay sits 4.5% below the Montana state average.
Official BLS data · View source

In 2026, nurse practitioners in Great Falls, Montana, are projected to earn a median annual salary of $134,826, which is slightly below the national median of $136,864, representing a difference of 1.49%. The salary range for this profession is notably broad, with the bottom 10% earning approximately $112,098 and the top 10% making as much as $167,537. This data is derived from the official Bureau of Labor Statistics (BLS) OEWS surveys and highlights the diverse range of compensation within the field. The local market is influenced by varying roles and compensation structures; for example, those employed in W-2 positions may experience different pay compared to those who operate under a 1099 telehealth model, where hourly rates can fluctuate significantly based on practice type.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $112,098 | $53.90 |
| Lower Range (P25) | $127,171 | $61.14 |
| Median (P50)(typical) | $134,826 | $64.82 |
| Upper Range (P75) | $139,430 | $67.04 |
| Top Earners (P90) | $167,537 | $80.55 |
Median Salary Position
1.49% below the national average
2026 Salary Percentile Distribution in Great Falls
In Great Falls, MT, the nurse practitioner salary spread from the 10th to 90th percentile is $55,439 (2026 est.). At $134,826, the local median is 1.49% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Great Falls: You'd be in the lower-middle range
How Great Falls Nurse Practitioner Pay Compares
Great Falls median: $134,826/year (2026)
| Compared To | Median Salary | Great Falls Pays |
|---|---|---|
| Montana Average | $141,179 | -4.50% less |
| National Average | $136,864 | -1.49% less |
Nurse Practitioners in Great Falls, MT earn a median of $134,826 per year (2026 est.), which is 1.49% lower than the national median of $136,864 and 4.50% below the Montana state average of $141,179.
Cost-of-Living Adjusted Salary
Great Falls has a cost of living 3.16% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Great Falls, MT has a cost-of-living index of 96.845 (below the national average of 100). A nurse practitioner earning $134,826 nominally has purchasing power equivalent to $139,218 in an average-cost city — an effective 3.26% boost.
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2019 BLS Actual
$100,420
2025 BLS Actual
$130,330
2026 Current Est.
$134,826
2019–2027 Growth
+38.9%
Salary Trajectory for Nurse Practitioners in Great Falls (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $100,420 | Actual |
| 2020 | $103,950 | Actual |
| 2021 | $121,350 | Actual |
| 2022 | $109,740 | Actual |
| 2023 | $119,610 | Actual |
| 2024 | $124,700 | Actual |
| 2025 | $130,330 | Actual |
| 2026(current) | $134,826 | Estimated |
| 2027 | $139,478 | Projected |
Based on 7 years of BLS OEWS data for the Great Falls metropolitan area, the median nurse practitioner salary grew 29.8% from $100,420 (2019) to $130,330 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $139,478 by 2027 — a total increase of $39,058 (38.89%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Great Falls 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) | $112,098 – $127,171 |
| 3-5 years (Mid Career) | $127,171 – $134,826 |
| 5+ years (Experienced) | $134,826 – $139,430 |
| 10+ years (Top Earner) | $139,430 – $167,537 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Great Falls
A strong demand for skilled professionals means that the employment landscape for nurse practitioners is robust in Great Falls, with around 150 NPs currently practicing. The Cost of Living Index is favorable at 96.845, making the area more attractive for retainment of healthcare talent, as it suggests that salaries provide a relatively comfortable lifestyle compared to the national average. Among local employers, hospital outpatient clinics tend to offer some of the highest compensation packages, while retail clinics and telehealth platforms may provide different incentives that could impact overall nurse practitioner pay in Great Falls, MT. The variability in compensation often reflects the specialty focus, with psychiatric mental health nurse practitioners commanding higher wages due to the increased demand in mental health services. Maximizing pay in this market may involve seeking additional certifications or specializations, as well as considering positions at facilities that encourage productivity bonuses or flexibility in practice parameters.
More salary data for Great Falls, MT:
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 $130,330 for nurse practitionersin the Great Falls 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