Nurse Practitioner Salary in West Virginia: $127,320 Median (May 2025)
Nurse practitioners in West Virginia earn a median of $127,320 per year — $61.21 an hour — $4,980 below the national NP median of $132,300, ranking #42 of 51 states and D.C. The middle 80% of West Virginia NPs earn between $100,220 and $155,500. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 — the federal wage survey, not job-board self-reports.
West Virginia NP pay range (May 2025)
Dark band = middle 50% of West Virginia NPs (25th–75th percentile). Light band = middle 80%. New NPs typically start near the left edge.
NP vs RN Pay in West Virginia
The median NP in West Virginia out-earns the median RN by $47,190 per year (59%). Same state, same license underneath — the difference is the graduate degree and the scope that comes with it.
Compare West Virginia With Any State
Weighing a move, telehealth, or a compact-state license? Put West Virginia side by side with any other NP market.
| May 2025 BLS | West Virginia | Texas |
|---|---|---|
| Median annual salary | $127,320 | $131,670 |
| Median hourly wage | $61.21/hr | $63.31/hr |
| Entry-level range (10th pct) | $100,220 | $96,880 |
| Experienced (75th pct) | $133,220 | $147,660 |
| Top earners (90th pct) | $155,500 | $161,980 |
| NPs employed | 2,550 | 25,970 |
The NP path starts with an RN license
Every NP passed the NCLEX first. If you’re earlier on the ladder: compare West Virginia’s board-approved nursing programs by real first-time pass rates, and see the full earning ladder from CNA to CRNA.
Frequently Asked Questions
How much do nurse practitioners make in West Virginia?
NPs in West Virginia earn a median of $127,320 per year — $61.21 per hour — $4,980 below the national NP median of $132,300 (BLS May 2025). That ranks West Virginia #42 of 51 states and D.C. by median NP pay.
How much more do NPs make than RNs in West Virginia?
The median NP in West Virginia earns $127,320 versus $80,130 for the median RN — a difference of $47,190 per year (59%). The step up requires a master's or doctoral NP program on top of the RN license.
What is a starting NP salary in West Virginia?
New NPs generally start near the lower percentiles: in West Virginia, the 10th percentile is $100,220 and the 25th percentile is $108,520. Most NPs move toward the $127,320 median within their first several years of practice.
How many nurse practitioners work in West Virginia?
2,550 nurse practitioners are employed in West Virginia per the BLS May 2025 estimates.