Nurse Practitioner salary in Roanoke, VA
Nurse Practitioners in the Roanoke, VA metro area earn a median of $134,920 a year ($64.87 an hour), based on BLS data for 440 workers.
Pay ranges from $101,640 for the lowest-paid 10% to $147,520 for the top 10%. That is 2% higher than the national median of $132,300. Pay here is 6% higher than the Virginia statewide median of $127,810. There are 2.9 nurse practitioners per 1,000 jobs here — the job is 1.4× more common than nationally. The average (mean) salary is $126,720, close to the median.
Pay range for nurse practitioners in Roanoke, VA
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $101,640 | $48.87 |
| 25th percentile | $115,270 | $55.42 |
| Median | $134,920 | $64.87 |
| 75th percentile | $134,920 | $64.87 |
| 90th percentile (top earners) | $147,520 | $70.92 |
| Average (mean) | $126,720 | $60.92 |
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 | $11,243.33 |
| Semi-monthly (24 a year) | $5,621.67 |
| Biweekly (26 a year) | $5,189.23 |
| Weekly | $2,594.62 |
| Hourly | $64.87 |
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 |
|---|---|---|
| Charlottesville, VA | $142,950 | 480 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $134,840 | 4,050 |
| Winchester, VA-WV | $130,700 | 160 |
| Richmond, VA | $127,820 | 1,440 |
| Staunton-Stuarts Draft, VA | $125,710 | 100 |
| Blacksburg-Christiansburg-Radford, VA | $124,800 | 110 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | $124,530 | 1,300 |
| Harrisonburg, VA | $122,340 | 90 |
| Lynchburg, VA | $120,710 | 250 |
| Kingsport-Bristol, TN-VA | $118,470 | 480 |
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 Virginia statewide figures.
Related jobs in Roanoke, VA
| Job | Median salary | Hourly |
|---|---|---|
| Registered Nurse | $80,090 | $38.51 |
| Pharmacist | $133,980 | $64.41 |
| Physician Assistant | $135,940 | $65.36 |
| Physical Therapist | $98,770 | $47.49 |
| Family Medicine Physician | $224,410 | $107.89 |
| Respiratory Therapist | $78,820 | $37.89 |
| Speech-Language Pathologist | $91,560 | $44.02 |
| Occupational Therapist | $98,010 | $47.12 |
| Dental Hygienist | $98,550 | $47.38 |
| Dietitians and Nutritionists | $69,780 | $33.55 |
| Veterinarian | $121,940 | $58.63 |
| General Internal Medicine Physician | $227,320 | $109.29 |
| Obstetricians and Gynecologists | $346,900 | $166.78 |
| Pediatricians, General | $219,960 | $105.75 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Roanoke, VA
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 Roanoke, VA?
The median salary for nurse practitioners in the Roanoke, VA metro area is $134,920 a year, or $64.87 an hour. Pay ranges from $101,640 for the lowest-paid 10% to $147,520 for the top 10%.
How much do the highest-paid nurse practitioners make in Roanoke, VA?
The top 10% of nurse practitioners in the Roanoke, VA metro area earn at least $147,520 a year. The top 25% earn $134,920 or more.
What is the starting pay for nurse practitioners in Roanoke, VA?
Entry-level pay (the 10th percentile) is about $101,640 a year, and a quarter of nurse practitioners earn $115,270 or less.
How many nurse practitioners work in Roanoke, VA?
About 440 nurse practitioners are employed in the Roanoke, VA metro area, not counting the self-employed.