How Much Does an NP Make in Virginia in 2026?

A typical NP in Virginia earns about $61.45 per hour ($127,810 per year), according to the latest government wage data (May 2025). Calculated from that annual figure, pay works out to roughly $10,651 a month or $2,458 a week. These figures show what a typical nurse practitioner earns across the state, before accounting for city, setting, or years of experience. Actual pay for an individual NP depends on those factors.

That figure sits 3% below the national typical pay of $132,300 per year, and Virginia ranks 41st out of 51 states and territories on this measure. Lower pay in Virginia often tracks a lower cost of living compared with higher-cost states. Around 7,110 nurse practitioners work across Virginia, giving a sense of the scale of this workforce statewide.

Entry-level positions in Virginia typically offer around $48.07 per hour ($99,990 per year), according to the same wage data. Pay tends to rise from there as NPs gain experience and move into higher-paying settings or cities. Within a few years, many reach the typical pay level of $61.45 per hour ($127,810 per year). Early career pay reflects less specialization and fewer years of licensure.

Experienced NPs in Virginia often earn upwards of $67.07 per hour ($139,500 per year), with the top 10% of earners making over $77.63 per hour ($161,470 per year). The gap between entry-level and top-tier pay comes to $61,480 a year. That spread tends to reflect years of experience, the clinical setting, and the city where an NP practices. Charlottesville and Arlington rank among the higher-paying areas within the state.

Virginia's typical NP pay has risen from $94,340 in 2015 to $127,810 in 2025, a gain of $33,470. That amounts to a 35% increase over the decade. The rise was not perfectly steady; pay dipped slightly in 2021 before climbing again through 2023 and 2025. Overall, the trend has moved consistently upward across the ten-year span.

Nationally, typical NP pay also rose 35% over the same decade, so Virginia's growth has kept pace with the country as a whole. For someone entering the field now, this history shows pay has moved upward over time, though it offers no guarantee about future years. Past growth reflects what has already happened, not a forecast.

Pay runs highest in Charlottesville, where NPs typically earn $142,950 a year, about 12% above the statewide figure. Roanoke and Arlington follow closely, with typical pay of $134,920 and $134,840 a year. These figures reflect each city's full metro area rather than just the city center.

At the lower end, Bristol typically pays $118,470 a year, putting the spread between the highest- and lowest-paying cities at $24,480. Arlington holds the largest nurse practitioner workforce in the state, with about 4,050 employed there. Cities with lower typical pay often carry a lower cost of living, which tends to offset some of the gap in take-home value.

Among Virginia's neighbors, the District of Columbia pays the most, with typical NP pay of $135,880 a year, about 6% above Virginia's figure, followed by Maryland at $131,110 and North Carolina at $128,990. West Virginia sits close to Virginia's own figure at $127,320. Kentucky and Tennessee pay less, at $122,870 and $117,590 a year. Nurse practitioner licensure earned in one state can often be transferred or endorsed into a neighboring state, though requirements vary.

NPs in Virginia typically earn $127,810 a year ($61.45 an hour), a figure that has grown 35% over the past decade. Pay varies by city, experience, and setting, from entry-level positions near $99,990 to top earners above $161,470. Readers weighing a move to Virginia or a switch into the field can check the state licensing or registry page for requirements, and the city pages on this site for local pay figures.