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2026 Salary Data — Cleveland, OH
Updated April 28, 2026

Nurse Practitioner Salary in Cleveland: $118K Median

Nurse Practitioners in Cleveland, OH earn between $87K and $161K per year.

That's -8% below the US national median of $128,490 for this role.

Quick Answer

As of April 2026, the median Nurse Practitioner salary in Cleveland, OH is $118,211 per year — -8% below the US national median of $128,490. Salaries range from $87,400 (entry, 25th percentile) to $161,000 (90th percentile). Nurse Practitioners in Cleveland earned approximately $17,911 in 2025, representing 560.0% year-over-year growth.

Median
$118,211
+560.0% YoY · $9,851/mo
Entry
$92,000
0–2 years
Experienced
$142,600
5+ years
Top 10%
$161,000
Senior/lead
Nurse Practitioner Salary — Cleveland vs Nearby
Cleveland
$118K
Columbus
$125K
-5% vs Cleveland
Oklahoma City
$113K
+5% vs Cleveland
Louisville
$117K
+1% vs Cleveland

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About Nurse Practitioners in Cleveland

NPs are advanced practice registered nurses who diagnose conditions, prescribe medications, and provide primary or specialty care.

Core Responsibilities

  • Patient diagnosis
  • Treatment plans
  • Prescription writing
  • Specialty care
  • Patient education

Education & Certifications

Typical path: Master's or DNP

In-demand certifications

NP certification (FNP, PMHNP, PNP, etc.)BLS/ACLSDEA registrationState NP license

Cleveland Job Market

Major medical hub anchored by Cleveland Clinic.

Population
372K
Cost of Living
88
vs 100 US avg
Unemployment
4.5%
Median Home
$175K

Top Industries in Cleveland

Healthcare (Cleveland Clinic)FinanceManufacturingTechEducation

Top Employers Hiring Nurse Practitioners

Major employers active in Cleveland or hiring remotely from this metro.

Hospital systems
Outpatient clinics
Veterans Health
Community health centers
Telehealth companies

All major employers use ATS software.

Workday, Greenhouse, Taleo, and iCIMS auto-screen 75% of resumes before a human ever sees them. Scan your resume free to see your match rate.

2026 Hot Skills & Resume Keywords

Skills that command salary premiums and pass ATS keyword filters.

Hottest 2026 Skills

These appear in the highest-paying Nurse Practitioner listings.

Telehealth NPMental health (PMHNP)Pediatric NPGeriatric NPFull practice authority states

ATS Resume Keywords

Include these naturally throughout your resume.

NP certificationpatient careEHR (Epic)primary carepediatricmental healthtelehealth
Career Outlook
+38% Growth Projected (2024-2034)

NP roles growing 38% through 2034 — among fastest-growing US occupations. Full practice authority in 27 states drives demand.

Nurse Practitioner Salary Breakdown — Cleveland

PeriodEntry (25th)Median (50th)Top (90th)
Annual$87,400$118,211$161,000
Monthly$7,283$9,851$13,417
Weekly$1,681$2,273$3,096
Hourly$42$57$77

Based on 2080 working hours/year. Local figures derived from BLS Occupational Employment and Wage Statistics national median ($128,490) adjusted for Cleveland's cost-of-living multiplier (0.92×, sourced from BEA Regional Price Parities).

Nurse Practitioner Take-Home Pay in Cleveland

After federal, state, local, and FICA taxes — single filer, standard deduction.

Net Annual Take-Home
$85,543.669
Per month$7,129
Biweekly paycheck$3,290
Effective tax rate27.6%

Tax Breakdown on $118,211

Gross salary$118,211
Federal income tax−$17,713.64
Ohio state tax−$2,955.275
Cleveland local tax−$2,955.275
FICA (Social Security + Medicare)−$9,043.142
Take-home (net)$85,543.669

Estimates assume single filer, standard deduction ($14,600 for 2026), no 401(k)/HSA/dependents. Actual take-home varies with deductions, dependents, and benefits elections. Not tax advice.

Nurse Practitioner Salary by Experience — Cleveland

Career-stage progression for Nurse Practitioners in Cleveland.

ExperienceAnnual Salary
0–1 yr$84,640
2–3 yr$92,000
4–6 yr$117,300
7–10 yr$142,600
11–15 yr$168,268
15+ yr$151,800

Curve derived from BLS percentile data adjusted for Cleveland's 0.92× cost-of-living multiplier. Highlighted row = 7–10 year experienced level.

Year-Over-Year Trend

+560.0% vs 2025

2025 median:$17,911
2026 median:$118,211
Change:+$100,300

Healthcare sector growth driven by demand for Telehealth NP and Mental health (PMHNP).

Is This A Good Salary?

Excellent

Adjusted for local cost of living, this salary delivers top-tier real purchasing power - well above what the same nominal pay would buy in most US metros. Strong savings, home-buying, and discretionary spending are all realistic.

COL-Adjusted Purchasing Power
$134,331
Comfortable lifestyle with strong savings potential - the median paycheck stretches well above the national average here.

How to Negotiate Your Nurse Practitioner Salary in Cleveland

Walk-away anchor: $107,465 (offers below this are below market for Cleveland).

Leverage Points

  • Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums
  • Compact license / multi-state authority and willingness to float between units
  • Night, weekend, and holiday shift differentials add up to $10K-$25K annually
  • Critical-shortage specialties (ICU, ER, NICU, oncology) have the most leverage

Beyond Base Salary, Negotiate

Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles)Tuition reimbursement and certification stipendsLoan repayment programs (especially federal/HRSA-eligible)Shift differentials (nights +15%, weekends +10%)Relocation package and housing stipend

What To Say

"Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items?"

Anchor on $143K–$161K for experienced roles, citing Cleveland market data and your specific Telehealth NP/Mental health (PMHNP) expertise.

Nurse Practitioner Salary FAQ — Cleveland

What is the average Nurse Practitioner salary in Cleveland, OH?
The average Nurse Practitioner salary in Cleveland is $118,211 per year as of April 2026 — $9,851/month, $2,273/week, or about $57/hour. Salaries range from $87,400 (entry, 25th percentile) up to $161,000 (experienced, 90th percentile). Source: BLS Occupational Employment and Wage Statistics adjusted for Cleveland's cost-of-living multiplier (0.92×).
Is $118,211 a good Nurse Practitioner salary in Cleveland?
Excellent. Adjusted for local cost of living, this salary delivers top-tier real purchasing power - well above what the same nominal pay would buy in most US metros. Strong savings, home-buying, and discretionary spending are all realistic. Cleveland's cost-of-living index is 88 (vs 100 nationally), giving $118,211 a real purchasing power of approximately $134,331 in national terms. Comfortable lifestyle with strong savings potential - the median paycheck stretches well above the national average here.
Can you live on $118,211 in Cleveland?
Median local pay typically supports a single-earner family of four with a starter home, modest college savings, and standard healthcare costs covered. Stay under 25% of pre-tax income on rent. In this market, that is realistic on most professional salaries and leaves room for retirement contributions. For Cleveland specifically (median home price $175,000), a $118,211 salary supports a comfortable lifestyle.
Is $118,211 enough for a single person in Cleveland?
A single adult in Cleveland typically needs ~$39,600 for a comfortable lifestyle (housing, food, transport, healthcare, modest savings). A $118,211 salary is well above that threshold — a single person can live comfortably with significant savings room.
Is $118,211 enough for a couple in Cleveland?
A couple (one earner) in Cleveland typically needs ~$63,360 for a comfortable lifestyle. A $118,211 salary as the sole household income is sufficient — enabling moderate housing, savings, and discretionary spending. Two earners at $118,211 each ($236,422 household) provides solid middle-class comfort.
Is $118,211 enough for a family of 4 in Cleveland?
A family of 4 (one earner) in Cleveland typically needs ~$96,800 for a comfortable middle-class lifestyle (housing for 4, childcare/school, food, healthcare, transport, savings). A $118,211 salary as the sole household income is sufficient — a family of 4 can afford this metro on a single Nurse Practitioner income with prudent budgeting. Childcare costs in Cleveland typically run $13K-$25K per child per year.
What is the take-home pay for a Nurse Practitioner in Cleveland?
On a $118,211 Nurse Practitioner salary in Cleveland, OH, you take home approximately $85,543.669 per year ($7,129/month, $3,290 per biweekly paycheck) after taxes. Breakdown: federal $17,713.64, state $2,955.275, local $2,955.275, FICA $9,043.142. Effective tax rate: 27.6%. (Single filer, standard deduction, no other adjustments.)
How much do Nurse Practitioners in Cleveland earn compared to the US average?
Nurse Practitioners in Cleveland earn approximately 8% less than the US national median for this role ($128,490 nationally vs $118,211 in Cleveland). However, Cleveland's cost-of-living index of 88 means real purchasing power is approximately $134,331 when adjusted for local prices.
What does an entry-level Nurse Practitioner earn in Cleveland?
Entry-level Nurse Practitioners in Cleveland typically start at around $92,000 (0–2 years experience). With 5+ years, Nurse Practitioners earn $142,600 or more. Top earners (90th percentile) reach $161,000+, typically at senior or lead levels with specialized skills.
Did Nurse Practitioner salaries in Cleveland increase in 2026?
Yes — Nurse Practitioner salaries in Cleveland grew approximately 560.0% year-over-year, from $17,911 in 2025 to $118,211 in 2026 (+$100,300). This reflects the broader Healthcare sector's compensation trend, driven by Telehealth NP and Mental health (PMHNP) demand.
What's the job outlook for Nurse Practitioners in Cleveland?
NP roles growing 38% through 2034 — among fastest-growing US occupations. Full practice authority in 27 states drives demand. Cleveland's top industries include Healthcare (Cleveland Clinic), Finance, Manufacturing, and the metro's current unemployment rate is 4.5% — steady demand for skilled workers.
What skills are most in demand for Nurse Practitioners in 2026?
The hottest 2026 skills for Nurse Practitioners are: Telehealth NP, Mental health (PMHNP), Pediatric NP, Geriatric NP, Full practice authority states. ATS systems specifically scan for these keywords. Adding them to your resume — naturally and in context — significantly improves your match rate with employers in Cleveland.
Who are the top employers hiring Nurse Practitioners in Cleveland?
Top employers hiring Nurse Practitioners in or near Cleveland include: Hospital systems, Outpatient clinics, Veterans Health, Community health centers, Telehealth companies. Most use ATS software (Workday, Greenhouse, Taleo, iCIMS) to screen resumes — meaning your resume must be ATS-optimized to even get a human reader.
How do I negotiate a higher Nurse Practitioner salary in Cleveland?
Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items? Key leverage points for Healthcare negotiations: Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums; Compact license / multi-state authority and willingness to float between units; Night, weekend, and holiday shift differentials add up to $10K-$25K annually. Beyond base salary, negotiate for: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%).
How can I increase my Nurse Practitioner salary in Cleveland?
Three highest-leverage moves: (1) Add 2026's hot skills (Telehealth NP, Mental health (PMHNP), Pediatric NP) — they command 15-30% premiums. (2) Get a recognized certification (e.g., NP certification (FNP, PMHNP, PNP, etc.) or BLS/ACLS). (3) Tailor your resume to each role's keywords — CVCraft's ATS scanner shows you exactly what's missing.
What education do I need to become a Nurse Practitioner in Cleveland?
Master's or DNP is the typical path. However, Cleveland's competitive market increasingly values demonstrable skills, portfolios, and certifications alongside (or in place of) traditional degrees — particularly for Healthcare roles.

Methodology & Sources

Nurse Practitioner salary figures for Cleveland are computed by adjusting the BLS national median ($128,490) by Cleveland's cost-of-living multiplier of 0.92× — a composite of regional wage data and price parities. Year-over-year change (560.0%) reflects the Healthcare sector's 2025-2026 wage growth per BLS Employment Cost Index trends. Last reviewed April 28, 2026.

Data Sources

Related Roles in Cleveland

Registered Nurse →Physician →Pharmacist →Physical Therapist →Occupational Therapist →Dentist →

Nurse Practitioner Salary in Other Cities

San Antonio, TX$119KJacksonville, FL$118KColumbus, OH$125KIndianapolis, IN$119KDetroit, MI$119KMemphis, TN$113KOklahoma City, OK$113KLas Vegas, NV$122K

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