Nurse Practitioner.
Houston.
$128,000
median salary, 1% below the national average
$109,000 to $148,000. Last updated August 2026.
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Data points to own the conversation.
Orbyt estimates Nurse Practitioner pay in Houston at $128,000, within a range of $109,000 to $148,000. That is 1% below the national average. Houston's economy is deeply rooted in energy, with a growing presence in healthcare, aerospace, and technology. 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 Houston, 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 $134,560 for Nurse Practitioners (SOC 29-1171) in the Houston-Pasadena-The Woodlands, TX metropolitan area, based on 5,970 employed workers (May 2025 release).
10th percentile
$96,880
25th percentile
$116,500
Median
$134,560
75th percentile
$143,680
90th percentile
$158,830
Workers surveyed
5,970
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 Houston 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 $115,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$83,000
to $102,000
Mid (3-5 yrs)
$109,000
to $134,000
Senior (6-9 yrs)
$141,000
to $166,000
Lead (10+ yrs)
$160,000
to $198,000
Total compensation.
Base salary is not the full picture. Equity, bonus, and signing can add $36,000 to the total package.
Base
$128,000
Equity
$20,000
Bonus
$13,000
Signing
$3,000
Estimated total: $164,000
How Houston compares.
Houston, TX
$128,000
Cost of living: 3% below average
National Average
$129,000
Houston is $1,000 below
Nurse Practitioner salary by city.
Salary by role in Houston.
What you should know.
Before you negotiate a Nurse Practitioner offer in Houston, understand the terrain. Houston's economy is deeply rooted in energy, with a growing presence in healthcare, aerospace, and technology. The Texas Medical Center is the world's largest, driving massive demand for clinical and research roles. Houston's low cost of living and no state income tax make it an attractive destination for professionals seeking strong purchasing power. 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 Houston, cost of living sits near the national average, so the numbers you see are roughly what you keep.
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: texas has no state income tax, giving Houston workers strong take home pay. The city's overall cost of living is below the national average, further stretching your salary. When someone quotes you $128,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Emphasize industry specialization in energy or healthcare. Houston employers pay significant premiums for domain expertise in these sectors over generalist candidates. The range for Nurse Practitioners in Houston runs from $109,000 to $148,000. 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
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Common questions.
Nurse Practitioner salary in other cities.
Other salaries in Houston.
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 Houston, TX." Orbyt Salary Explorer, August 2026. https://www.orbytlabs.ai/orbyt-jobs/salaries/nurse-practitioner/houston
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