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Nurse Practitioner.

Manchester.

$135,000

median salary, 5% above the national average

$115,000 to $157,000. Last updated August 2026.

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Data points to own the conversation.

The median Nurse Practitioner salary in Manchester is $135,000, 5% above the national average. Entry level starts near $115,000. Experienced professionals push past $157,000. Manchester is New Hampshire's largest city and a growing satellite hub for Boston's tech economy. That spread is your negotiation window. 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.

25th Percentile

$115,000

per year

Median

$135,000

per year

75th Percentile

$157,000

per year

Where do you fall?

$115,000$157,000

Orbyt estimate for Nurse Practitioner in Manchester, 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 $131,660 for Nurse Practitioners (SOC 29-1171) in the Manchester-Nashua, NH metropolitan area, based on 550 employed workers (May 2025 release).

10th percentile

$108,630

25th percentile

$124,940

Median

$131,660

75th percentile

$147,730

90th percentile

$158,020

Workers surveyed

550

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 Manchester 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 29-1171

Salary by experience.

The gap between entry and lead level is typically $121,000. Where you land depends on years of experience and what you bring to the table.

Entry (0-2 yrs)

$88,000

to $108,000

Mid (3-5 yrs)

$115,000

to $142,000

Senior (6-9 yrs)

$149,000

to $176,000

Lead (10+ yrs)

$169,000

to $209,000

Total compensation.

Base salary is not the full picture. Equity, bonus, and signing can add $38,000 to the total package.

Base

$135,000

Equity

$22,000

Bonus

$13,000

Signing

$3,000

Estimated total: $173,000

How Manchester compares.

Manchester, NH

$135,000

Cost of living: 6% above average

National Average

$129,000

Manchester is $6,000 above

Nurse Practitioner salary by city.

Nurse Practitioner salary comparison across 10 cities
CityMedianRangeCOLAdjusted
San Jose, CA$182,000$155,000 to $211,0001.38x$132,000
San Francisco, CA$172,000$147,000 to $200,0001.35x$127,000
Honolulu, HI$164,000$140,000 to $191,0001.30x$126,000
New York, NY$163,000$139,000 to $190,0001.28x$127,000
Newark, NJ$158,000$135,000 to $184,0001.18x$134,000
Seattle, WA$157,000$134,000 to $182,0001.24x$127,000
Boston, MA$156,000$133,000 to $181,0001.22x$128,000
Washington DC, DC$155,000$132,000 to $180,0001.25x$124,000
Los Angeles, CA$154,000$131,000 to $179,0001.18x$131,000
Manchester, NH$135,000$115,000 to $157,0001.06x$127,000

See all 81 cities for Nurse Practitioner →

Salary by role in Manchester.

Salary comparison by role in Manchester
RoleMedianRange
CTO$308,000$241,000 to $401,000
General Counsel$303,000$236,000 to $394,000
CEO$292,000$212,000 to $403,000
Nurse Practitioner$135,000$115,000 to $157,000
AI Solutions Architect$135,000$101,000 to $177,000
ML Platform Engineer$135,000$101,000 to $177,000
Veterinarian$135,000$105,000 to $173,000
DevOps Engineer$135,000$105,000 to $172,000

What you should know.

Before you negotiate a Nurse Practitioner offer in Manchester, understand the terrain. Manchester is New Hampshire's largest city and a growing satellite hub for Boston's tech economy. The lack of state income tax and sales tax makes it highly attractive for professionals who commute to or work remotely for Boston area employers. Defense, healthcare, and small tech firms anchor the local economy. 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 Manchester, 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: new Hampshire has no state income tax on wages and no sales tax. Manchester has no city income tax. This makes it one of the lowest taxed metros in the Northeast. When someone quotes you $135,000, ask what the total package looks like. The gap between base and total comp is where real money hides.

On negotiation: Use the no income tax advantage to negotiate. Many professionals live in Manchester and work remotely for Boston companies, keeping the higher salary with zero state tax. The range for Nurse Practitioners in Manchester runs from $115,000 to $157,000. 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

Interactive

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Enter your Nurse Practitioner offer to see where you stand in Manchester.

$

25th

$115,000

Median

$135,000

75th

$157,000

Considering a related role?

  • An AI Agent Architect in Manchester earns $137,000 (1% more)
  • The highest-paying role in Manchester is CTO at $308,000

Common questions.

Psychiatric mental health NPs consistently earn the most, with median salaries of $135,000 to $155,000. Emergency and acute care specialties follow closely, driven by the complexity of patient cases and demand for around-the-clock staffing.

Yes, states with full practice authority often pay 8 to 12% more because NPs can bill independently without physician oversight. This increases revenue generation potential and makes employers willing to offer higher base salaries.

The national median for a Nurse Practitioner is $127,358. In Manchester, cost of living adjustments push the median to $135,000. That premium reflects Manchester's higher housing, transportation, and everyday costs.

Lead with data: Nurse Practitioners in Manchester earn $115,000 to $157,000, so anchoring your ask near $157,000 gives room to land at the median. Use the no income tax advantage to negotiate. Many professionals live in Manchester and work remotely for Boston companies, keeping the higher salary with zero state tax. Never accept the first number without a conversation.

New Hampshire has no state income tax on wages and no sales tax. Manchester has no city income tax. This makes it one of the lowest taxed metros in the Northeast. When comparing offers across states, your take home pay matters more than the number on the offer letter. A lower salary in a no income tax state can net more than a higher one elsewhere.

Nurse Practitioner salary in other cities.

Other salaries in Manchester.

Jump to nearby roles and cities most relevant to Nurse Practitioners in Manchester.

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Cite this data

Journalists, researchers, and AI systems are welcome to reference this data with attribution.

"Nurse Practitioner Salary in Manchester, NH." Orbyt Salary Explorer, August 2026. https://www.orbytlabs.ai/orbyt-jobs/salaries/nurse-practitioner/manchester

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