Nurse Practitioner Salary in Fredericksburg, VA: $126,605 (2026)
Quick Answer:A full-time nurse practitioner in Fredericksburg, VA earns a median $126,605/year (≈ $60.87/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Fredericksburg's price level (3% above national, BEA RPP 103.2), that paycheck buys what $122,679 would nationally. Nominal pay sits 2.6% below the Virginia state average.
Based on BLS state-level estimates · View source
In 2026, the nurse practitioner salary in Fredericksburg, VA is projected to be $126,605 annually, representing a 7.50% reduction compared to the national median of $136,864. Salaries will range significantly, from a lower-end estimate of $95,992 to a top figure of $166,081. These numbers are based on 2025 BLS OEWS data, projected to reflect changes in the local job market and regional cost adjustments. Given the growing demand for healthcare services in the area, Fredericksburg's nurse practitioners can capitalize on their choice to work in either W-2 clinic roles or 1099 telehealth positions, with the former typically offering more predictable salaries and benefits, while the latter may allow for greater hourly flexibility and additional side earnings.
About the Fredericksburg Market
Salary estimated from Virginia average ($124,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $95,992 | $46.15 |
| Lower Range (P25) | $118,451 | $56.95 |
| Median (P50)(typical) | $126,605 | $60.87 |
| Upper Range (P75) | $150,783 | $72.49 |
| Top Earners (P90) | $166,081 | $79.84 |
Median Salary Position
7.5% below the national average
2026 Salary Percentile Distribution in Fredericksburg
In Fredericksburg, VA, the nurse practitioner salary spread from the 10th to 90th percentile is $70,089 (2026 est.). At $126,605, the local median is 7.5% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Fredericksburg: You'd be in the lower-middle range
How Fredericksburg Nurse Practitioner Pay Compares
Fredericksburg median: $126,605/year (2026)
| Compared To | Median Salary | Fredericksburg Pays |
|---|---|---|
| Virginia Average | $129,985 | -2.60% less |
| National Average | $136,864 | -7.50% less |
Nurse Practitioners in Fredericksburg, VA earn a median of $126,605 per year (2026 est.), which is 7.50% lower than the national median of $136,864 and 2.60% below the Virginia state average of $129,985.
Cost-of-Living Adjusted Salary
Fredericksburg has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Fredericksburg, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $126,605 is competitive, the higher cost of living reduces purchasing power to an effective $122,679 — a 3.1% reduction.
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2019 BLS Actual
$101,588
2025 BLS Actual
$122,383
2026 Current Est.
$126,605
2019–2027 Growth
+28.9%
Salary Trajectory for Nurse Practitioners in Fredericksburg (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $101,588 | Actual |
| 2020 | $103,309 | Actual |
| 2021 | $111,634 | Actual |
| 2022 | $112,494 | Actual |
| 2023 | $116,796 | Actual |
| 2024 | $124,581 | Actual |
| 2025 | $122,383 | Actual |
| 2026(current) | $126,605 | Estimated |
| 2027 | $130,973 | Projected |
Based on 7 years of BLS OEWS data for the Fredericksburg metropolitan area, the median nurse practitioner salary grew 20.5% from $101,588 (2019) to $122,383 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $130,973 by 2027 — a total increase of $29,385 (28.93%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fredericksburg 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) | $95,992 – $118,451 |
| 3-5 years (Mid Career) | $118,451 – $126,605 |
| 5+ years (Experienced) | $126,605 – $150,783 |
| 10+ years (Top Earner) | $150,783 – $166,081 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Fredericksburg
Currently, there are only seven nurse practitioners employed in Fredericksburg, reflecting a tight job market, but also an opportunity for those entering the field. With a cost of living index at 103.2, practitioners should be mindful of how this affects their take-home pay and overall purchasing power in the region. Hospitals and outpatient clinics are generally the highest-paying employers, often offering more comprehensive compensation packages and incentives. Variations in pay can arise from differing specialty focuses, with positions in mental health (PMHNP) frequently commanding higher salaries than those in generalist roles. To maximize earning potential in Fredericksburg, nurse practitioners should consider pursuing full-practice authority across various specialties and be strategic about their employment choices, such as targeting settings with productivity bonuses or exploring lucrative telehealth contracts that supplement traditional incomes.
More salary data for Fredericksburg, 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 $122,383 for nurse practitionersin the Fredericksburg 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
Salary data for Fredericksburg is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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