Nurse Practitioner Salary in Hawaii: $135K Median

The average Nurse Practitioner salary in Hawaii is $134,915 per year as of April 2026. Salaries range from $99,750 (entry, 25th percentile) up to $183,750 (90th percentile). State income tax applies.

Nurse Practitioners in Hawaii earn approximately 5% more than the US national median ($128,490 nationally vs $134,915 in Hawaii). Hawaii's cost-of-living index of 190 partially offsets the higher salary.

Yes — Nurse Practitioner salaries in Hawaii grew approximately 560.0% year-over-year, from $20,442 in 2025 to $134,915 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telehealth NP and Mental health (PMHNP) demand.

Hawaii has no major metros in our database — fallback to the closest tracked city for detailed breakdowns.

NP roles growing 38% through 2034 — among fastest-growing US occupations. Full practice authority in 27 states drives demand. Hawaii's top industries include Tourism, Military/Defense, Agriculture, and the state's unemployment rate is 2.9% — a tight labor market favoring candidates.

Yes, Hawaii has state income tax. This affects take-home pay — at $134,915, expect 4-7% effective state tax depending on filing status. See city pages for detailed take-home calculations.

Hottest 2026 skills: Telehealth NP, Mental health (PMHNP), Pediatric NP, Geriatric NP, Full practice authority states. ATS systems specifically scan for these. Adding them to your resume — naturally and in context — improves your match rate with Hawaii employers.

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? Beyond base, negotiate: 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%). Walk-away anchor for Hawaii: $122,650.