Nurse Practitioner salary in Fresno, CA
Nurse Practitioners in the Fresno, CA metro area earn a median of $166,570 a year ($80.08 an hour), based on BLS data for 570 workers.
Pay ranges from $129,300 for the lowest-paid 10% to $212,320 for the top 10%. That is 26% higher than the national median of $132,300. Pay here is 1% lower than the California statewide median of $168,520. There are 1.2 nurse practitioners per 1,000 jobs here — the job is less common than nationally (location quotient 0.57). The average (mean) salary is $167,690, above the median because a few high earners pull it up.
Pay range for nurse practitioners in Fresno, CA
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $129,300 | $62.17 |
| 25th percentile | $138,900 | $66.78 |
| Median | $166,570 | $80.08 |
| 75th percentile | $191,270 | $91.96 |
| 90th percentile (top earners) | $212,320 | $102.08 |
| Average (mean) | $167,690 | $80.62 |
Half of nurse practitioners earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $13,880.83 |
| Semi-monthly (24 a year) | $6,940.42 |
| Biweekly (26 a year) | $6,406.54 |
| Weekly | $3,203.27 |
| Hourly | $80.08 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Nurse Practitioner salary in other metro areas nearby
| Metro area | Median salary | Workers |
|---|---|---|
| San Jose-Sunnyvale-Santa Clara, CA | $231,560 | 1,580 |
| San Francisco-Oakland-Fremont, CA | $219,080 | 3,110 |
| Vallejo, CA | $182,370 | 180 |
| Napa, CA | $176,270 | 60 |
| Modesto, CA | $173,380 | 380 |
| Sacramento-Roseville-Folsom, CA | $172,010 | 1,170 |
| Riverside-San Bernardino-Ontario, CA | $169,920 | 1,710 |
| Hanford-Corcoran, CA | $168,540 | 70 |
| Santa Cruz-Watsonville, CA | $167,190 | 190 |
| Chico, CA | $167,080 | 140 |
| Santa Rosa-Petaluma, CA | $167,040 | 280 |
| Salinas, CA | $166,090 | 140 |
| Bakersfield-Delano, CA | $165,580 | 430 |
| Santa Maria-Santa Barbara, CA | $165,580 | 200 |
| Yuba City, CA | $165,020 | 70 |
| El Centro, CA | $164,700 | 70 |
| San Diego-Chula Vista-Carlsbad, CA | $163,860 | 2,340 |
| San Luis Obispo-Paso Robles, CA | $162,950 | 140 |
| Los Angeles-Long Beach-Anaheim, CA | $161,470 | 10,060 |
| Redding, CA | $160,480 | 120 |
| Visalia, CA | $159,430 | 250 |
| Stockton-Lodi, CA | $159,150 | 280 |
| Merced, CA | $158,750 | 100 |
| Oxnard-Thousand Oaks-Ventura, CA | $148,800 | 320 |
Highest-paying states for nurse practitioners
| State | Median salary |
|---|---|
| California | $168,520 |
| New Jersey | $159,310 |
| Washington | $156,100 |
| Oregon | $155,680 |
| Alaska | $155,170 |
| New York | $153,510 |
| Massachusetts | $142,440 |
| Nevada | $140,670 |
| Connecticut | $138,470 |
| New Hampshire | $137,550 |
See Nurse Practitioner pay in every state or the California statewide figures.
Related jobs in Fresno, CA
| Job | Median salary | Hourly |
|---|---|---|
| Registered Nurse | $125,420 | $60.30 |
| Pharmacist | $169,160 | $81.33 |
| Speech-Language Pathologist | $110,960 | $53.35 |
| Physical Therapist | $123,820 | $59.53 |
| Respiratory Therapist | $83,340 | $40.07 |
| Dental Hygienist | $101,730 | $48.91 |
| Physicians, All Other | $315,390 | $151.63 |
| Pediatricians, General | $289,290 | $139.08 |
| Physician Assistant | $155,440 | $74.73 |
| Dentists, General | $188,510 | $90.63 |
| Family Medicine Physician | $277,650 | $133.49 |
| Occupational Therapist | $116,690 | $56.10 |
| Dietitians and Nutritionists | $93,470 | $44.94 |
| Veterinarian | $157,460 | $75.70 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Fresno, CA
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-1171. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a nurse practitioner make in Fresno, CA?
The median salary for nurse practitioners in the Fresno, CA metro area is $166,570 a year, or $80.08 an hour. Pay ranges from $129,300 for the lowest-paid 10% to $212,320 for the top 10%.
How much do the highest-paid nurse practitioners make in Fresno, CA?
The top 10% of nurse practitioners in the Fresno, CA metro area earn at least $212,320 a year. The top 25% earn $191,270 or more.
What is the starting pay for nurse practitioners in Fresno, CA?
Entry-level pay (the 10th percentile) is about $129,300 a year, and a quarter of nurse practitioners earn $138,900 or less.
How many nurse practitioners work in Fresno, CA?
About 570 nurse practitioners are employed in the Fresno, CA metro area, not counting the self-employed.