LIVE MARKET·4,427 POSTINGS · LAST 180 DAYS

Advanced Practice Provider salaries: $74.66/hr median.

Advanced Practice Providers (APPs) include Nurse Practitioners, Physician Assistants, and CRNAs who provide advanced clinical care under graduate-level scope.

Showing 60 titles (36 with pay data) across 10 tracks and 89 states. Latest data as of April 30, 2026.

Titles
60
36 with data
Postings
4,427
4,001 unique
Median /hr
$74.66
$155,292/yr
Tracks
10
89 states
04·WHERE ADVANCED PRACTICE PROVIDER PAYS·POSTING-WEIGHTED MEDIAN

Advanced Practice Provider pay across every state with live data.

01Alabama6 postings
$105.00/hr
02Alaska16 postings
$87.94/hr
03Arizona9 postings
$62.50/hr
04California206 postings
$94.38/hr
05Colorado11 postings
$72.50/hr
06Connecticut27 postings
$70.62/hr
07Florida25 postings
$57.00/hr
08Georgia15 postings
$60.00/hr
09Illinois87 postings
$85.18/hr
10Indiana12 postings
$65.50/hr
11Iowa9 postings
$60.00/hr
12Maryland70 postings
$70.62/hr
13Massachusetts63 postings
$91.34/hr
14Michigan5 postings
$128.00/hr
15Minnesota34 postings
$77.70/hr
16Nebraska7 postings
$79.50/hr
17New Jersey20 postings
$72.50/hr
18New Mexico5 postings
$62.50/hr
19New York169 postings
$85.90/hr
20North Carolina52 postings
$113.02/hr
21Ohio11 postings
$56.50/hr
22Oregon12 postings
$66.25/hr
23Pennsylvania45 postings
$87.99/hr
24South Carolina5 postings
$65.00/hr
25Tennessee5 postings
$105.00/hr
26Texas46 postings
$61.84/hr
27Virginia18 postings
$76.42/hr
28Washington60 postings
$53.07/hr
29Wisconsin11 postings
$129.00/hr

Showing all 29 states with live data. Bars scale to the highest-paying state.

05·HOW TO BECOME·CAREER PATHWAY

How to become a Advanced Practice Provider.

Advanced Practice Providers — Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, and Certified Nurse Midwives — diagnose, treat, prescribe, and coordinate care under their own license. APPs sit between RN-level bedside care and physician-level decision authority, with scope of practice that varies by state. The two dominant paths are the APRN route (NP / CNS / CRNA / CNM, built on an RN license) and the PA route (a separate medical-model master's program).

Education·Min: Master's degree · Preferred: Master's or Doctorate (MSN, DNP, MMS, MSPAS)

APRNs (NP, CNS, CRNA, CNM) start with a BSN and RN license, complete a graduate program in their chosen population focus, and pass the national certification exam (e.g. AANP/ANCC for NPs). PAs come through a separate medical-model master's program with no nursing prerequisite, then pass the PANCE. Both routes require state APP licensure / authorization to practice; collaboration and supervision rules vary widely by state.

DegreeDurationNotes
Master of Science in Nursing (MSN-NP)MSN2-3 years post-BSNStandard entry to Nurse Practitioner practice. Tracks include FNP, AGNP (primary or acute), PMHNP, PNP, NNP, and Women's Health NP.
Doctor of Nursing PracticeDNP3-4 years post-BSNTerminal practice degree for APRNs. Increasingly the entry-level requirement for some specialties (CRNA programs are doctoral-only as of 2025).
Physician Assistant Master'sMPAS / MMS / MSPAS27 months full-timeMedical-model program covering didactic plus 2,000+ supervised clinical hours across core rotations (IM, surgery, EM, peds, OB, behavioral health, family medicine).
Post-master's certificateCert1-2 yearsAdds a new APRN specialty (e.g. PMHNP) on top of an existing master's. Common for FNPs who want to add an acute-care or psych population focus.
Licenses & Exams·4 credentials
State APRN authorizationAdvanced Practice Registered Nurse license / authorityRequired
Issued by: State Board of Nursing

Required for NPs, CNSes, CRNAs, and CNMs. Built on top of the underlying RN license. Some states grant full practice authority; others require physician collaboration.

State PA licensePhysician Assistant licenseRequired
Issued by: State medical or PA board

Required for PAs in every state. Eligibility requires PANCE certification and graduation from an ARC-PA accredited program.

DEA registrationDEA prescriber numberOptional
Issued by: US Drug Enforcement Administration

Required to prescribe controlled substances. Almost universally required in practice for full-scope outpatient roles.

BLS / ACLSBasic / Advanced Life SupportRequired
Issued by: American Heart Association

Required for nearly all APP roles; PALS is required for pediatric specialties.

Optional Certifications·Pay boost where known
CredentialIssued byPay impact
AANP / ANCC NP certification
National NP board certification (population-focused)
Population-focused certification (FNP, AGNP, PMHNP, PNP, etc.) is the bridge from graduation to state APRN licensure. Not optional.
AANP or ANCCEntry requirement
PANCE / PANRE
Physician Assistant National Certifying Exam
PANCE is the post-graduation entry exam; PANRE recertifies every 10 years. Standard requirement for PA state licensure.
NCCPAEntry requirement
Specialty CAQ / sub-specialty
Certificate of Added Qualifications (PAs) or specialty certification (NPs)
Surgical, EM, cardiology, hospital medicine, psychiatry — both PAs and NPs can add formal specialty credentials. Often required for procedure-heavy roles.
NCCPA / specialty boards+5-15%
Career Path·5 steps
  1. 0-1 years
    New-grad APP / Fellowship

    Newly licensed NP or PA. Many systems run formal post-graduate fellowships (EM, hospitalist, surgery, primary care) for structured onboarding.

  2. 1-4 years
    Staff APP

    Independent clinical caseload within specialty. Builds procedural skill and patient panel.

  3. 4-8 years
    Senior / specialty APP

    Holds specialty CAQ or sub-specialty certification. Often a clinical preceptor for new-grad APPs and physician residents.

  4. 8+ years
    Lead APP

    Oversees APP scheduling, hiring, and protocols for a service line. Partners with the medical director on quality and throughput metrics.

  5. 12+ years
    Director of APPs / Chief APP

    System-level leadership over the APP workforce. Owns scope-of-practice strategy, credentialing, and APP-physician collaboration models. Often holds a doctorate (DNP or DMS).

Work Environment
Primary care and family medicineHospital medicine and inpatient servicesEmergency departmentsSpecialty clinics (cardiology, oncology, ortho, etc.)Surgical first-assistPsychiatric and behavioral healthUrgent care and retail clinicsTelehealth

Schedule. Outpatient APPs run business hours with limited call. Hospital and ER APPs typically work 12-hour shifts including nights, weekends, and holidays. Surgical APPs may take significant first-assist call.

Physical demands. Largely moderate — clinic-based roles involve frequent standing and EHR work; procedure-heavy specialties (surgery, EM, cardiology) add patient positioning, suturing, and longer stretches on your feet.

Job Outlook·Very Strong
+27-38% (2022-2032)

Nurse Practitioners and Physician Assistants are projected to be among the fastest-growing US occupations of the decade. Demand is driven by physician shortages (especially in primary care and rural areas), expanding scope-of-practice laws, and the shift of routine specialty care from physicians to APPs.

FAQ — Becoming this role·3 questions
NP vs PA — what's the difference?

Educationally: NPs come through nursing (RN → BSN → MSN/DNP, with a population focus); PAs come through a medical-model master's with no prior nursing experience required. Practice-wise the day-to-day is highly similar in most outpatient settings, though state laws differ: many states grant NPs full practice authority, while PAs almost always practice under a collaboration agreement with a physician. Choose the path that matches the educational pipeline you're already on.

How long does it take to become an APP?

PA: ~6 years total (4 years bachelor's + 27 months PA school + PANCE). NP: 6-8 years (BSN + 1-2 years RN experience + 2-3 years for MSN, or 3-4 for DNP). CRNA: 7-9 years (BSN + ICU experience + 3-year doctoral program).

Can NPs and PAs prescribe controlled substances?

Yes, both can register with the DEA and prescribe Schedule II-V medications, subject to state-level restrictions. A small number of states still limit some controlled-substance prescribing for NPs in restricted-practice jurisdictions.