Nursing is a diverse field with numerous specialties, each offering unique challenges, responsibilities, and salary potential. While all nurses play a vital role in patient care, some specialties command higher salaries due to factors such as advanced education, experience, and the complexity of care required. Understanding nursing salaries by specialty is crucial for those considering career advancement, as earnings can vary significantly depending on the role, work setting, and geographical location.
Some of the highest-paying nursing careers, such as Certified Registered Nurse Anesthetists (CRNAs) and Nurse Practitioners (NPs), require additional education and certifications but offer substantial financial rewards.
This guide explores various nursing specialties, their average salaries, educational paths, and job responsibilities. Whether you’re a nursing student, a working RN looking to specialize, or a seasoned nurse considering a career shift, this information will help you make an informed decision about your future.
Key Takeaways
- Nursing salaries vary by specialty, education, and experience level. Advanced practice roles typically pay more than general RN positions.
- Certified Registered Nurse Anesthetists (CRNAs) earn the highest salaries among nursing specialties, often exceeding $200,000 annually.
- Nurse Practitioners (NPs) across various specialties enjoy high earning potential, job security, and increased autonomy in patient care.
- Specialized fields like Oncology, Orthopedics, and Neonatal Nursing offer competitive salaries with rewarding career paths.
- Higher education, certifications, and location impact earnings making it essential to plan for additional training if pursuing high-paying roles.
Highest Paid Nursing Specialties
The highest-paid specialties in nursing are:
- Certified Registered Nurse Anesthetist
- Psychiatric Nurse Practitioner
- General Nurse Practitioner
- Oncology Nurse Practitioner
- Neonatal Nurse Practitioner
- Pediatric Nurse Practitioner
- Cardiac Nurse Practitioner
- Family Nurse Practitioner
- Orthopedic Nurse Practitioner
1. Certified Registered Nurse Anesthetist (CRNA)
- Average Annual Salary: $202,470
- Average Hourly Salary: $97.34
What Does a CRNA Do?
A Certified Registered Nurse Anesthetist (CRNA) is a highly specialized nurse who plays a critical role in surgical procedures, pain management, and emergency care. CRNAs work alongside anesthesiologists, surgeons, dentists, and other medical professionals to ensure patients receive safe and effective anesthesia during medical procedures. Their responsibilities include:
- Conducting pre-anesthesia assessments to evaluate a patient’s medical history and determine the safest anesthetic plan.
- Administering anesthesia through various methods, such as intravenous (IV) or inhaled anesthetics.
- Continuously monitoring a patient’s vital signs, such as heart rate, blood pressure, and oxygen levels, while they are under anesthesia.
- Managing post-anesthesia recovery, ensuring patients wake up safely and experience minimal complications.
- Handling emergency situations, such as adverse reactions to anesthesia or sudden drops in blood pressure.
CRNAs often work independently, especially in rural hospitals or surgical centers where anesthesiologists may not be present. In fact, they are the primary providers of anesthesia in rural and underserved areas across the U.S.
How to Become a CRNA
Becoming a CRNA requires a rigorous educational path and clinical training. Here’s a step-by-step breakdown:
- Earn a Bachelor of Science in Nursing (BSN) – A four-year undergraduate degree is typically required.
- Become a Registered Nurse (RN) – You must pass the NCLEX-RN exam to obtain a nursing license.
- Gain Clinical Experience – Most CRNA programs require at least one to three years of experience in a critical care setting, such as an ICU (Intensive Care Unit) or ER (Emergency Room).
- Complete a Doctor of Nursing Practice (DNP) or a Master of Science in Nursing (MSN) in Nurse Anesthesia – As of 2025, all CRNA programs will require a Doctorate in Nursing Practice (DNP) rather than a Master’s degree. These programs include courses in pharmacology, pathophysiology, and anesthesia techniques.
- Pass the National Certification Exam (NCE) – Administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA), this exam certifies that you’re qualified to work as a CRNA.
For more information on CRNA certification, visit the NBCRNA official website.
Why Choose This Career?
CRNAs are among the highest-paid nurses in the healthcare field, and the demand for their skills is expected to grow by 45% by 2029—far above the national average for other careers. With an aging population requiring more surgical procedures and the shift toward cost-effective healthcare, CRNAs will continue to play a vital role.
Where Do CRNAs Earn the Most?
CRNA salaries vary based on location and workplace setting. Here’s a breakdown of top-paying employers and states:
Top-Paying Workplaces for CRNAs
| Workplace | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| Outpatient Care Centers | $254,180 | $122.20 |
| Specialty Hospitals | $219,540 | $105.55 |
| General Hospitals | $212,340 | $102.09 |
| Colleges & Universities | $200,340 | $96.32 |
| Physicians’ Offices | $194,240 | $93.39 |
Top-Paying States for CRNAs
| State | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| Connecticut | $276,540 | $132.95 |
| New Jersey | $263,850 | $126.85 |
| Illinois | $250,280 | $120.33 |
| West Virginia | $247,650 | $119.06 |
If you’re considering a career as a CRNA, check out the American Association of Nurse Anesthesiology (AANA) for additional resources on training programs, certification, and career advancement.
2. Psychiatric Mental Health Nurse Practitioner (PMHNP)
- Average Annual Salary: $134,702
- Average Hourly Salary: $65
What Does a PMHNP Do?
A Psychiatric Mental Health Nurse Practitioner (PMHNP) is an advanced practice nurse specializing in mental health care. They diagnose, treat, and manage a wide range of mental health disorders, including:
- Anxiety disorders (generalized anxiety disorder, panic disorder, OCD)
- Mood disorders (depression, bipolar disorder)
- Psychotic disorders (schizophrenia, schizoaffective disorder)
- Substance use disorders (addiction recovery and rehabilitation)
- Neurodevelopmental disorders (ADHD, autism spectrum disorders)
PMHNPs develop personalized treatment plans, which may include therapy, medication management, and lifestyle interventions. They often work with psychiatrists, psychologists, social workers, and primary care physicians to ensure comprehensive care for their patients.
Unlike psychiatrists, PMHNPs typically spend more time with patients, focusing on holistic and long-term mental health management. In many states, PMHNPs have full practice authority, meaning they can diagnose and treat patients without physician oversight.
How to Become a PMHNP
Becoming a Psychiatric Nurse Practitioner requires specialized education and clinical experience. Here’s the step-by-step process:
- Earn a Bachelor of Science in Nursing (BSN) – A four-year nursing degree is required.
- Obtain RN Licensure – Pass the NCLEX-RN exam to become a registered nurse.
- Gain Clinical Experience – Work in psychiatric settings, such as mental health hospitals or rehabilitation centers, to gain experience.
- Earn a Master’s (MSN) or Doctorate (DNP) in Psychiatric Nursing – This includes coursework in psychopharmacology, psychotherapy, and neurobiology.
- Pass the PMHNP-BC Certification Exam – This national certification, issued by the American Nurses Credentialing Center (ANCC), allows you to practice as a PMHNP.
For more details on certification, visit the ANCC official website.
Why Choose This Career?
Mental health awareness is increasing, and demand for PMHNPs is growing rapidly. With a nationwide shortage of mental health providers, PMHNPs are crucial in expanding access to psychiatric care. Many states allow them to practice independently, meaning they can open private practices and work autonomously.
Where Do PMHNPs Work?
PMHNPs can work in varied settings, including inpatient and outpatient environments.
Top Workplaces for PMHNPs
| Workplace | Typical Role |
|---|---|
| Mental Health Clinics | Providing outpatient therapy and medication management |
| Inpatient Psychiatric Hospitals | Treating acute mental health crises and stabilizing patients |
| Correctional Facilities | Addressing mental health needs in prisons and juvenile centers |
| Rehabilitation Centers | Helping patients recover from addiction and substance use disorders |
| Primary Care Clinics | Providing psychiatric services alongside general healthcare |
Top-Paying States for PMHNPs
| State | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| California | $153,760 | $73.92 |
| New York | $145,300 | $69.86 |
| Oregon | $140,500 | $67.55 |
| Massachusetts | $138,290 | $66.49 |
| Washington | $137,420 | $66.07 |
If you’re considering a career as a PMHNP, check out the American Psychiatric Nurses Association (APNA) for resources on training, licensure, and job opportunities.
3. General Nurse Practitioner (NP)
- Average Annual Salary: $118,040
- Projected Growth: 45% by 2030
What Does a General Nurse Practitioner Do?
A General Nurse Practitioner (NP) is an advanced practice registered nurse (APRN) who provides comprehensive primary and specialty care to patients of all ages. NPs bridge the gap between registered nurses and physicians, offering a holistic approach to healthcare. Their responsibilities include:
- Performing physical examinations and assessing overall patient health.
- Diagnosing acute and chronic illnesses, such as diabetes, hypertension, or infections.
- Prescribing medications and developing treatment plans based on patient needs.
- Providing preventative care, including vaccinations, health screenings, and patient education.
- Managing patient follow-ups, monitoring progress, and adjusting treatment as needed.
- Collaborating with physicians and specialists when necessary for complex cases.
Many states grant full practice authority to NPs, allowing them to work independently without physician supervision. This is particularly valuable in rural and underserved areas where access to healthcare is limited.
How to Become a General Nurse Practitioner
Becoming a General NP requires advanced education and clinical experience. Here’s a step-by-step guide:
- Earn a Bachelor of Science in Nursing (BSN) – A four-year undergraduate degree that provides foundational knowledge.
- Obtain RN Licensure – Pass the NCLEX-RN exam to become a licensed registered nurse.
- Gain Clinical Experience – Most NP programs require one to two years of hands-on nursing experience.
- Complete a Master’s or Doctorate in Nursing (MSN or DNP) – A graduate-level nurse practitioner program that includes coursework in advanced pharmacology, pathophysiology, and diagnostics.
- Pass the National Certification Exam – Depending on the specialty, NPs must take an exam through organizations like the American Association of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC).
For more information on certification, visit the AANP official website.
Why Choose This Career?
General Nurse Practitioners are in high demand, with job opportunities expected to grow 45% by 2030—one of the fastest-growing roles in healthcare. With rising healthcare costs and a growing need for primary care providers, NPs play a crucial role in expanding access to quality healthcare.
Where Do General Nurse Practitioners Earn the Most?
NP salaries vary based on workplace and state. Below is a breakdown of top-paying employers:
Top-Paying Workplaces for General NPs
| Workplace Type | Average Salary |
|---|---|
| Home Healthcare | $133,170 |
| Outpatient Centers | $129,190 |
Top-Paying States for General NPs
| State | Average Annual Salary |
|---|---|
| California | $151,830 |
| New Jersey | $137,010 |
| Washington | $130,840 |
| New York | $129,190 |
To explore nurse practitioner training programs and licensing requirements, visit the American Nurses Association (ANA).
4. Oncology Nurse Practitioner
- Average Annual Salary: $117,074
What Does an Oncology Nurse Practitioner Do?
An Oncology Nurse Practitioner (ONP) is a specialized advanced practice nurse who focuses on the diagnosis, treatment, and management of cancer patients. ONPs play a crucial role in patient care, working alongside oncologists, hematologists, and other healthcare professionals to support patients throughout their cancer journey. Their responsibilities include:
- Assessing and diagnosing cancer-related symptoms and complications.
- Developing and managing treatment plans that may involve chemotherapy, radiation therapy, immunotherapy, and targeted therapy.
- Educating patients and families about cancer treatments, side effects, and symptom management.
- Monitoring patients’ responses to treatments and adjusting medications or therapies as needed.
- Providing palliative and supportive care to manage pain and improve quality of life for those in advanced stages of cancer.
- Collaborating with oncologists, radiologists, and surgeons to create comprehensive care plans.
- Conducting cancer screenings and preventive care for high-risk individuals.
Some ONPs specialize in specific cancer types, such as breast cancer, hematologic malignancies (like leukemia and lymphoma), or pediatric oncology. They may work in hospitals, outpatient oncology clinics, research centers, or palliative care facilities.
How to Become an Oncology Nurse Practitioner
To become an ONP, nurses must complete several educational and certification steps:
- Earn a Bachelor of Science in Nursing (BSN) – A four-year undergraduate nursing degree is typically required.
- Become a Registered Nurse (RN) – Pass the NCLEX-RN exam to obtain a nursing license.
- Gain Clinical Experience in Oncology Nursing – Most ONP programs prefer applicants with one to three years of experience working in oncology or hematology settings.
- Complete a Master’s or Doctoral Degree in Oncology Nursing – Advanced degrees, such as a Master of Science in Nursing (MSN) with an Oncology focus or a Doctor of Nursing Practice (DNP), provide specialized training in cancer care.
- Obtain Oncology Nursing Certification – Certification validates expertise and enhances career opportunities. Common certifications include:
- Advanced Oncology Certified Nurse Practitioner (AOCNP®) – Offered by the Oncology Nursing Certification Corporation (ONCC), this credential is highly valued. Learn more on the ONCC website.
- Oncology Certified Nurse (OCN®) – Recommended for RNs transitioning to an ONP role.
Why Choose This Career?
Cancer is one of the leading causes of death worldwide, and with advancements in treatment, there is an increasing demand for oncology specialists. ONPs provide both life-saving and life-improving care, supporting patients physically and emotionally. Job stability and salary growth are strong, especially in areas with high cancer incidence rates.
Where Do Oncology Nurse Practitioners Earn the Most?
ONP salaries vary based on workplace setting and geographic location. Below are the highest-paying work environments:
Top-Paying Workplaces for Oncology Nurse Practitioners
| Workplace | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| Outpatient Care Centers | $130,000+ | $62.50+ |
| Specialty Hospitals | $125,000 | $60.10 |
| General Hospitals | $120,500 | $57.93 |
| Cancer Research Facilities | $118,000 | $56.73 |
| Palliative Care Clinics | $115,000 | $55.29 |
Top-Paying States for Oncology Nurse Practitioners
| State | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| California | $135,320 | $65.06 |
| New York | $128,600 | $61.83 |
| Massachusetts | $126,700 | $60.91 |
| Washington | $124,500 | $59.86 |
| Texas | $121,800 | $58.56 |
If you’re interested in pursuing a career as an Oncology Nurse Practitioner, check out the Oncology Nursing Society (ONS) for valuable resources, training programs, and certification details.
5. Neonatal Nurse Practitioner
- Average Annual Salary: $110,249
What Does a Neonatal Nurse Practitioner Do?
A Neonatal Nurse Practitioner (NNP) specializes in the care of premature, critically ill, and high-risk newborns in Neonatal Intensive Care Units (NICUs). These highly trained nurses work closely with neonatologists, pediatric specialists, and other healthcare professionals to provide life-saving treatment to newborns experiencing complications such as:
- Premature birth
- Respiratory distress syndrome
- Congenital disabilities
- Low birth weight
- Infections or sepsis
NNPs play a crucial role in monitoring and stabilizing newborns, administering medications, performing advanced procedures (such as intubation and umbilical line placement), and educating parents on newborn care. Their work is often emotionally demanding, but it’s also deeply rewarding, as they help give fragile newborns the best possible start in life.
While most NNPs work in Level III and Level IV NICUs, where the most critically ill infants receive care, they may also be involved in:
- Transporting critically ill newborns from smaller hospitals to specialized NICUs.
- Providing follow-up care for infants who have spent time in intensive care.
- Conducting research on neonatal health conditions and treatment advancements.
How to Become a Neonatal Nurse Practitioner
Becoming an NNP requires specialized education and training in neonatal care. Here’s the path to becoming one:
- Earn a Bachelor of Science in Nursing (BSN) – A four-year undergraduate degree in nursing is required.
- Become a Registered Nurse (RN) – Pass the NCLEX-RN exam to obtain licensure.
- Gain Experience in Neonatal Care – Most programs require at least two years of experience in a Level III NICU before advancing.
- Earn a Master’s or Doctorate in Neonatal Nursing – Enroll in an NNP program, such as a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP) specializing in neonatal care.
- Obtain Neonatal Nurse Practitioner Certification – Pass the National Certification Corporation (NCC) Neonatal Nurse Practitioner Exam to become certified.
For more details on certification, visit the National Certification Corporation (NCC) website.
Why Choose This Career?
Neonatal nurse practitioners make a profound impact on the lives of vulnerable newborns and their families. They work in highly specialized environments where their skills can mean the difference between life and death. Demand for NNPs remains strong, particularly as more hospitals expand their NICU facilities to handle an increasing number of premature births.
Where Do NNPs Earn the Most?
Salaries for NNPs can vary by workplace and location. Here’s a look at the top-paying employers and states:
Top-Paying Workplaces for NNPs
| Workplace | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| General Hospitals | $115,000 | $55.29 |
| Specialty Hospitals | $120,000 | $57.69 |
| Outpatient Care Centers | $112,000 | $53.85 |
| Physicians’ Offices | $110,000 | $52.88 |
Top-Paying States for NNPs
| State | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| California | $128,000 | $61.54 |
| New York | $124,500 | $59.86 |
| Texas | $118,200 | $56.83 |
| Massachusetts | $116,800 | $56.15 |
If you’re interested in pursuing a career as a Neonatal Nurse Practitioner, check out the National Association of Neonatal Nurses (NANN) for information on training programs, career resources, and continuing education.
6. Pediatric Nurse Practitioner
- Average Annual Salary: $113,494
What Does a Pediatric Nurse Practitioner Do?
A Pediatric Nurse Practitioner (PNP) specializes in providing comprehensive primary and acute care for infants, children, and adolescents. They work closely with pediatricians, nurses, and other healthcare providers to ensure young patients receive the medical attention they need. PNPs can diagnose illnesses, prescribe medications, and provide preventative care tailored to children’s unique developmental needs. Their responsibilities include:
- Performing routine checkups and wellness exams for infants, toddlers, and teens.
- Diagnosing and treating common pediatric illnesses, such as asthma, ear infections, and strep throat.
- Administering vaccinations and monitoring children’s growth and development.
- Providing guidance to parents on childhood nutrition, behavior, and overall wellness.
- Managing chronic conditions, such as diabetes and congenital disorders.
- Offering emergency care for injuries, infections, and other urgent conditions.
PNPs work in various settings, including hospitals, pediatric clinics, schools, and private practices. Some also specialize in neonatal care, working in NICUs (Neonatal Intensive Care Units) to care for premature and critically ill newborns.
How to Become a Pediatric Nurse Practitioner
Becoming a PNP requires advanced education and clinical training in pediatric healthcare. Here’s the step-by-step path:
- Earn a Bachelor of Science in Nursing (BSN) – A four-year undergraduate degree that provides the foundation for nursing practice.
- Obtain RN Licensure – Pass the NCLEX-RN exam to become a licensed Registered Nurse.
- Gain Pediatric Nursing Experience – Many PNP programs prefer candidates with at least one to two years of experience working in pediatric settings.
- Earn a Master’s in Pediatric Nursing or a Doctor of Nursing Practice (DNP) – A Master of Science in Nursing (MSN) with a Pediatric Nurse Practitioner specialization is required. However, some students now pursue a DNP for advanced training.
- Pass the PNP Certification Exam – The Pediatric Nursing Certification Board (PNCB) and the American Nurses Credentialing Center (ANCC) offer certification exams for PNPs.
For details on certification, visit the PNCB official website.
Why Choose This Career?
Pediatric Nurse Practitioners play a vital role in children’s healthcare, from infancy to adolescence. With the growing demand for specialized pediatric care, PNP jobs are projected to grow significantly in the coming years. The role offers job stability, high salaries, and opportunities for specialization, making it a rewarding choice for nurses who enjoy working with children.
Where Do PNPs Earn the Most?
Salaries for Pediatric Nurse Practitioners vary based on location and work setting.
Top-Paying Workplaces for PNPs
| Workplace | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| Outpatient Care Centers | $120,000+ | $57.69+ |
| General Hospitals | $115,000+ | $55.29+ |
| Pediatric Specialty Clinics | $110,000+ | $52.88+ |
| Private Pediatric Practices | $108,000+ | $51.92+ |
| School-Based Healthcare | $100,000+ | $48.07+ |
Top-Paying States for PNPs
| State | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| California | $130,000+ | $62.50+ |
| New York | $125,000+ | $60.10+ |
| Texas | $118,000+ | $56.73+ |
| Washington | $116,000+ | $55.77+ |
If you’re considering a career as a Pediatric Nurse Practitioner, explore resources from the National Association of Pediatric Nurse Practitioners (NAPNAP) to learn more about training programs, certification, and professional development.
7. Cardiac Nurse Practitioner
- Average Annual Salary: $110,076
What Does a Cardiac Nurse Practitioner Do?
A Cardiac Nurse Practitioner (CNP) specializes in diagnosing, managing, and treating patients with cardiovascular conditions such as coronary artery disease, heart failure, arrhythmias, and hypertension. They work closely with cardiologists, cardiothoracic surgeons, and primary care teams to ensure patients receive comprehensive heart care. Their key responsibilities include:
- Conducting cardiac assessments, including evaluating symptoms like chest pain, shortness of breath, and dizziness.
- Ordering and interpreting diagnostic tests, such as EKGs, echocardiograms, and stress tests.
- Developing treatment plans that may involve medication management, lifestyle changes, and patient education.
- Assisting in cardiac procedures like heart catheterizations, pacemaker insertions, and open-heart surgeries.
- Monitoring and managing patients before and after heart surgery, ensuring proper recovery and rehabilitation.
- Providing preventive heart care and educating patients on risk factors, diet, and exercise to promote long-term cardiovascular health.
Cardiac Nurse Practitioners often work in hospitals, outpatient cardiology clinics, cardiac rehabilitation centers, and private practices. Given the rising prevalence of heart disease, the demand for CNPs is expected to increase significantly in the coming years.
How to Become a Cardiac Nurse Practitioner
Becoming a Cardiac Nurse Practitioner requires specialized education and clinical experience. Here’s a step-by-step guide:
- Earn a Bachelor of Science in Nursing (BSN) – A four-year undergraduate degree is typically required.
- Become a Registered Nurse (RN) – You must pass the NCLEX-RN exam to obtain licensure.
- Gain Clinical Experience – Work for at least one to two years in cardiology, critical care, or emergency nursing to build expertise in heart-related conditions.
- Complete a Master’s or Doctorate in Nursing (MSN/DNP) with a Cardiac Specialization – Many programs offer Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) or Family Nurse Practitioner (FNP) tracks with a focus on cardiovascular care.
- Obtain Cardiac Nursing Certification – Certifications such as:
- Cardiac-Vascular Nursing Certification (CV-BC) from the American Nurses Credentialing Center (ANCC)
- Acute Care Nurse Practitioner (ACNP-BC) for those working in hospital settings
- Certified Cardiac Rehabilitation Professional (CCRP) for those in rehabilitation settings
For more information on cardiac nursing certification, visit the American Association of Critical-Care Nurses (AACN).
Why Choose This Career?
With heart disease being the leading cause of death in the U.S., Cardiac Nurse Practitioners are in high demand to help manage and prevent cardiovascular conditions. The role offers:
- High earning potential and job stability
- The opportunity to make a life-saving impact on patients
- A fast-paced, rewarding work environment
Where Do Cardiac NPs Earn the Most?
CNP salaries vary based on location and workplace setting. Here’s a look at the top-paying employers and states:
Top-Paying Workplaces for Cardiac NPs
| Workplace | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| Hospitals (General & Specialty) | $115,000+ | $55.30 |
| Outpatient Cardiology Clinics | $112,000 | $53.85 |
| Private Cardiology Practices | $108,500 | $52.10 |
| Cardiac Rehabilitation Centers | $105,000 | $50.50 |
Top-Paying States for Cardiac NPs
| State | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| California | $129,000 | $62.02 |
| New York | $124,500 | $59.85 |
| Texas | $118,700 | $57.06 |
| Florida | $115,200 | $55.40 |
To learn more about advancing your career as a Cardiac Nurse Practitioner, visit the American Association of Nurse Practitioners (AANP).
8. Family Nurse Practitioner (FNP)
- Average Annual Salary: $105,898
What Does a Family Nurse Practitioner Do?
A Family Nurse Practitioner (FNP) is an advanced practice nurse who provides comprehensive, long-term healthcare to patients of all ages, from infants to the elderly. FNPs emphasize preventive care, disease management, and health education, often forming strong, lasting relationships with their patients. Their responsibilities include:
- Diagnosing and treating acute and chronic conditions, such as infections, diabetes, and high blood pressure.
- Prescribing medications and developing treatment plans tailored to patients’ needs.
- Conducting routine checkups and physical exams to assess overall health.
- Providing patient education on nutrition, exercise, and lifestyle changes to promote wellness.
- Coordinating care with specialists when advanced treatment is required.
- Managing minor procedures, such as suturing wounds or removing skin lesions.
FNPs work in various healthcare settings, including private practices, community health clinics, hospitals, and schools. Many also serve in underserved and rural areas, helping to bridge the gap in healthcare access.
How to Become an FNP
The path to becoming an FNP requires years of education, clinical training, and certification. Here’s what it takes:
- Earn a Bachelor of Science in Nursing (BSN) – A four-year degree is typically required before entering an advanced practice program.
- Become a Registered Nurse (RN) – Pass the NCLEX-RN exam and gain experience in patient care.
- Gain Clinical Experience – Most FNP programs prefer candidates with one to two years of experience in a clinical setting.
- Complete a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) with a Family Nurse Practitioner Specialization – Some states are shifting toward requiring a DNP for advanced practice nurses.
- Pass the FNP Certification Exam – Administered by either the American Association of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), this exam certifies you as an FNP.
For details on FNP certification, visit the AANP Certification Board or the ANCC official site.
Why Choose This Career?
FNPs have broad career opportunities and enjoy high job satisfaction as they build meaningful patient relationships and provide essential care to families. The demand for FNPs is expected to grow by 40% by 2030, driven by an aging population and an increased need for primary care providers.
Where Do FNPs Earn the Most?
Salaries for FNPs vary by location and workplace setting. Below is a breakdown of the top-paying workplaces and states for FNPs.
Top-Paying Workplaces for FNPs
| Workplace | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| Outpatient Care Centers | $118,600 | $57.02 |
| General Hospitals | $114,250 | $54.93 |
| Physicians’ Offices | $111,680 | $53.69 |
| Specialty Hospitals | $110,840 | $53.28 |
| Colleges & Universities | $102,110 | $49.09 |
Top-Paying States for FNPs
| State | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| California | $151,830 | $72.99 |
| New Jersey | $137,010 | $65.87 |
| Washington | $130,840 | $62.90 |
| New York | $128,890 | $61.97 |
To explore accredited FNP programs, check out the American Association of Nurse Practitioners (AANP) for educational resources and career guidance.
9. Orthopedic Nurse Practitioner
- Average Annual Salary: $100,035
What Does an Orthopedic Nurse Practitioner Do?
An Orthopedic Nurse Practitioner (ONP) specializes in diagnosing, treating, and managing musculoskeletal conditions, including fractures, arthritis, osteoporosis, and sports injuries. They work closely with orthopedic surgeons, physical therapists, and rehabilitation specialists to help patients regain mobility and manage pain. Their responsibilities include:
- Assessing and diagnosing musculoskeletal conditions through physical exams, imaging studies (X-rays, MRIs), and patient history reviews.
- Developing treatment plans, which may include medications, physical therapy, or lifestyle modifications to improve mobility and reduce pain.
- Performing minor procedures, such as joint injections, wound care, and splinting.
- Assisting in orthopedic surgeries, including pre-and post-operative care for patients undergoing procedures like joint replacements or spinal surgeries.
- Providing rehabilitation guidance, helping patients recover from injuries and surgeries with personalized care plans.
- Educating patients on injury prevention, pain management, and long-term musculoskeletal health.
Orthopedic Nurse Practitioners are in high demand in hospitals, sports medicine clinics, rehabilitation centers, and private orthopedic practices, where they play a key role in enhancing patient outcomes.
How to Become an Orthopedic Nurse Practitioner
The path to becoming an ONP requires specialized education and certification. Here’s a step-by-step breakdown:
- Earn a Bachelor of Science in Nursing (BSN) – This four-year degree provides the foundational knowledge needed for advanced practice nursing.
- Become a Registered Nurse (RN) – You must pass the NCLEX-RN exam to obtain your nursing license.
- Gain Experience in Orthopedic or Critical Care Settings – Many ONP programs require at least one to two years of clinical experience in orthopedics, trauma, or rehabilitation nursing.
- Complete a Master’s or Doctorate in Nursing (MSN/DNP) with a Focus on Orthopedic Nursing – Some programs offer Orthopedic Nurse Practitioner concentrations, while others require additional post-master’s certification.
- Obtain Orthopedic Nurse Practitioner Certification – The Orthopaedic Nurses Certification Board (ONCB) offers the Orthopaedic Nurse Practitioner Certification (ONP-C) for advanced practice nurses.
For more information on ONP certification, visit the Orthopaedic Nurses Certification Board (ONCB).
Why Choose This Career?
With an aging population and rising rates of conditions like arthritis and osteoporosis, the demand for orthopedic specialists is steadily increasing. Additionally, the growing popularity of sports and fitness means more patients require treatment for sports injuries and joint issues. Orthopedic Nurse Practitioners play a key role in improving mobility, reducing pain, and helping patients lead active lives.
Where Do ONPs Earn the Most?
Salaries for Orthopedic Nurse Practitioners vary depending on location and workplace setting. Here’s a look at the top-paying employers and states:
Top-Paying Workplaces for ONPs
| Workplace | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| Specialty Hospitals | $110,450 | $53.10 |
| Outpatient Care Centers | $108,900 | $52.35 |
| General Hospitals | $105,740 | $50.84 |
| Sports Medicine Clinics | $102,800 | $49.42 |
| Private Orthopedic Practices | $100,035 | $48.10 |
Top-Paying States for ONPs
| State | Average Annual Salary | Average Hourly Salary |
|---|---|---|
| California | $124,800 | $59.90 |
| New York | $118,750 | $57.10 |
| Texas | $112,430 | $54.05 |
| Florida | $109,600 | $52.70 |
For additional resources on orthopedic nursing careers, check out the National Association of Orthopaedic Nurses (NAON).
FAQs on Nursing Salaries by Specialty
1. Which nursing specialty has the highest salary?
Certified Registered Nurse Anesthetists (CRNAs) typically earn the highest salaries among nurse practitioners. According to the U.S. Bureau of Labor Statistics (BLS), CRNAs earn an average annual salary of around $203,000. This is due to their advanced education, high level of responsibility, and the complexity of anesthesia administration.
2. What factors influence nursing salaries by specialty?
Several factors impact a nurse’s salary, including:
- Experience: More years in the field often lead to higher pay.
- Location: States like California and New York tend to offer higher salaries due to the cost of living.
- Education Level: Nurses with advanced degrees, such as a Doctor of Nursing Practice (DNP), may earn more.
- Work Setting: Nurses in hospitals and surgical centers often earn more than those in outpatient clinics.
- Specialization: Certain fields, like anesthesia and cardiology, require more training and offer higher pay.
3. How long does it take to become a Nurse Practitioner?
Becoming a Nurse Practitioner (NP) generally takes between 6 to 8 years. The steps include:
- Earning a Bachelor of Science in Nursing (BSN) (4 years).
- Gaining Registered Nurse (RN) experience (1-2 years).
- Completing a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP) (2-4 years).
4. Do Nurse Practitioners earn more than Registered Nurses?
Yes, Nurse Practitioners (NPs) earn significantly more than Registered Nurses (RNs). The average NP salary is around $124,000 per year, while RNs earn about $81,220 per year, according to the BLS. The additional education and advanced scope of practice contribute to this difference.
5. Which nursing specialty is best for work-life balance?
While all nursing careers can be demanding, Family Nurse Practitioners (FNPs) and Psychiatric Nurse Practitioners (PMHNPs) often have better work-life balance. They commonly work in clinics with standard working hours instead of night shifts or emergency care settings.
6. Are nursing salaries expected to increase?
Yes. According to the Bureau of Labor Statistics, demand for Nurse Practitioners is expected to grow by 45% from 2022 to 2032, much faster than most professions. As demand rises, salaries are likely to increase, especially in high-demand fields like geriatrics, oncology, and psychiatric nursing.
7. What are the highest-paying states for nurses?
The top-paying states for Nurse Practitioners include:
- California – Average salary: $158,130
- New Jersey – Average salary: $143,250
- Washington – Average salary: $140,110
- New York – Average salary: $138,040
(Source: Bureau of Labor Statistics)
Conclusion
Nursing offers a diverse range of specialties with competitive salaries, job security, and opportunities for growth. Whether you choose to become a Certified Registered Nurse Anesthetist (CRNA) with the highest earning potential or a Family Nurse Practitioner (FNP) with a balanced work schedule, nursing careers provide rewarding paths for those dedicated to patient care.
As healthcare demand continues to rise, nurses specializing in fields such as oncology, cardiology, neonatology, and psychiatry will remain essential. Choosing the right specialty depends on your interests, career goals, and desired salary.
For further insights on Nursing Salaries by Specialty, check out the latest salary reports on the Bureau of Labor Statistics website.