How Much Does an NP Make in West Virginia in 2026?

A typical nurse practitioner in West Virginia earns about $61.21 per hour, which works out to roughly $127,320 per year, according to the latest government wage data (May 2025). Broken down further, that's close to $10,610 a month or $2,448 a week, based on the annual figure. Those numbers describe the middle of the pay range across the state.

That typical pay sits about 4% below the national figure of $132,300, placing West Virginia 42nd among the 51 states and Washington, D.C., which together employ about 323,040 nurse practitioners nationally. Roughly 2,550 of them work in West Virginia, providing a sense of scale for these figures. Pay that trails the national number often reflects a lower cost of living rather than a difference in the work itself.

Entry-level positions in West Virginia typically offer around $48.18 an hour, or about $100,220 a year, according to state wage data. Pay tends to move up from there as nurse practitioners gain experience, approaching the typical $127,320 within a few years on the job. Newly credentialed NPs should expect to start near the lower end of that range.

Experienced nurse practitioners in West Virginia often earn upwards of the typical pay, and the top 10% of earners make over $155,500 a year, or about $74.76 an hour. That leaves a spread of $55,280 between entry-level and top pay in the state. Practice setting, years on the job, and the city where an NP works tend to explain most of that gap.

West Virginia's typical NP pay has climbed steadily over the past decade, from $88,880 in 2015 to $127,320 in 2025. That's a gain of $38,440, or a 43% rise over ten years. The increase has been fairly steady year over year, with a notable jump between 2023 and 2024.

Nationally, typical NP pay rose 35% over the same decade, so West Virginia's pay grew faster than the national number. Both figures moved up steadily rather than in one large jump. For someone starting an NP career in West Virginia now, that decade of gains means pay has moved up substantially, though nothing about future increases is guaranteed.

Pay runs highest in Charleston, where NPs typically earn $129,260 a year, about 2% above the statewide figure. Wheeling and Morgantown follow closely, with typical pay of $128,640 and $128,130 a year. These figures cover each city's full metro area, not just the city center.

Steubenville pays the least among West Virginia's metro areas, with typical NP pay of $117,400 a year, a spread of $11,860 between the highest- and lowest-paying cities. Huntington employs the most nurse practitioners of any city in the state, with 570 in the metro area, even though its typical pay of $125,780 falls below Charleston's. Local pay differences like these often track differences in living costs.

West Virginia's NP pay sits close to its neighbors, though generally on the lower side. Maryland pays the most nearby, with typical NP pay of $131,110 a year, about 3% above West Virginia, and Pennsylvania follows at $130,140. Kentucky pays less, at $122,870, about 3% below West Virginia. Virginia is nearly even at $127,810. Nurse practitioner licensure can often be transferred or endorsed between neighboring states, which can widen job options for NPs near the border.

Nurse practitioners in West Virginia typically earn $127,320 a year, or $61.21 an hour, as of the latest government wage data (May 2025). That figure has risen 43% over the past decade, though it still trails the national number by about 4%. Readers weighing a move or a new license should check West Virginia's state licensing or registry page for requirements, and the city pages for local pay figures in Charleston, Huntington, and beyond.