Nurse Practitioner Salary in Iowa: $118K Median

The average Nurse Practitioner salary in Iowa is $118,211 per year as of April 2026. Salaries range from $87,400 (entry, 25th percentile) up to $161,000 (90th percentile). State income tax applies.

Nurse Practitioners in Iowa earn approximately 8% less than the US national median ($128,490 nationally vs $118,211 in Iowa). Iowa's cost-of-living index of 90 amplifies the real purchasing power.

Yes — Nurse Practitioner salaries in Iowa grew approximately 560.0% year-over-year, from $17,911 in 2025 to $118,211 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telehealth NP and Mental health (PMHNP) demand.

Iowa 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. Iowa's top industries include Agriculture, Insurance, Manufacturing, and the state's unemployment rate is 3% — a tight labor market favoring candidates.

Yes, Iowa has state income tax. This affects take-home pay — at $118,211, 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 Iowa 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 Iowa: $107,465.