Nurse Practitioner.
Birmingham.
$109,000
median salary, 16% below the national average
$93,000 to $127,000. Last updated August 2026.
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Data points to own the conversation.
If you are evaluating a Nurse Practitioner offer in Birmingham, AL, here is the reality: $93,000 to $127,000, with $109,000 as the midpoint. 16% below the national average. Specialty area is the dominant pay lever, with psychiatric and acute care NPs earning 15 to 25% above family practice. Do not accept the first number. These figures are Orbyt estimates, computed rather than measured, and must not be cited as Bureau of Labor Statistics figures; the published BLS wage for the occupation this role maps to is shown separately on this page.
Salary range.
Where do you fall?
Orbyt estimate for Nurse Practitioner in Birmingham, modelled from national occupation wages adjusted for local cost of living. The published government benchmark for this occupation is below.
Government benchmark for this occupation
The US Bureau of Labor Statistics reports a median annual wage of $107,700 for Nurse Practitioners (SOC 29-1171) in the Birmingham, AL metropolitan area, based on 1,350 employed workers (May 2025 release).
10th percentile
$89,240
25th percentile
$101,210
Median
$107,700
75th percentile
$126,870
90th percentile
$137,560
Workers surveyed
1,350
BLS publishes wages by occupation code, not by job title, so this figure covers every role mapped to Nurse Practitioners (SOC 29-1171) rather than Nurse Practitioner specifically. The Birmingham range at the top of this page is Orbyt’s role-level estimate, which is a different thing and is labelled as such.
View the BLS source for SOC 29-1171Salary by experience.
The gap between entry and lead level is typically $98,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$71,000
to $87,000
Mid (3-5 yrs)
$93,000
to $114,000
Senior (6-9 yrs)
$120,000
to $142,000
Lead (10+ yrs)
$136,000
to $169,000
Total compensation.
Base salary is not the full picture. Equity, bonus, and signing can add $30,000 to the total package.
Base
$109,000
Equity
$17,000
Bonus
$11,000
Signing
$2,000
Estimated total: $139,000
How Birmingham compares.
Birmingham, AL
$109,000
Cost of living: 16% below average
National Average
$129,000
Birmingham is $20,000 below
Nurse Practitioner salary by city.
Salary by role in Birmingham.
What you should know.
Here is what the Nurse Practitioner market actually looks like in Birmingham. Birmingham is Alabama's largest metro, anchored by a major medical center, banking, and a growing innovation district. UAB is one of the state's largest employers and a driver of biomedical research jobs. The extremely low cost of living makes Birmingham a strong value for professionals in healthcare and finance. Specialty area is the dominant pay lever, with psychiatric and acute care NPs earning 15 to 25% above family practice. States granting full practice authority pay more due to independent billing. Years of experience and certifications like ACNP or PMHNP also drive meaningful increases.
New graduate NPs start around $100,000 to $110,000. With five to seven years of specialty experience, compensation reaches $125,000 to $140,000. Lead NPs or those in director-level clinical roles can earn $150,000 to $170,000, especially in high-demand specialties. In Birmingham, your dollars stretch further. Cost of living runs 16% below the national average, which means even a median salary buys a stronger lifestyle.
Base salary is not the full picture. Many NPs receive signing bonuses of $5,000 to $15,000, CME stipends, malpractice coverage, and retirement contributions. Hospital-employed NPs may also receive shift differentials and productivity bonuses tied to patient volume. And on the tax side: alabama's top state income tax rate is 5%. Birmingham has no city income tax. The low rate combined with very affordable housing creates excellent take home pay ratios. When someone quotes you $109,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Leverage UAB and the medical corridor when negotiating. Healthcare and biotech roles command nationally competitive salaries even in this low cost market. The range for Nurse Practitioners in Birmingham runs from $93,000 to $127,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: BLS OES, H-1B LCA (DOL). COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified July 1, 2026. Full methodology
Considering a related role?
- An ML Engineer in Birmingham earns $108,000 (1% less)
- The highest-paying role in Birmingham is CTO at $249,000
Common questions.
Nurse Practitioner salary in other cities.
Other salaries in Birmingham.
Related salary pages
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Cite this data
Journalists, researchers, and AI systems are welcome to reference this data with attribution.
"Nurse Practitioner Salary in Birmingham, AL." Orbyt Salary Explorer, August 2026. https://www.orbytlabs.ai/orbyt-jobs/salaries/nurse-practitioner/birmingham
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