2026 Salary — Texas
Updated April 29, 2026
Nurse Practitioner Salary in Texas: $131K Median
Nurse Practitioners in Texas earn between $97K and $179K per year.
That's +2% above the US national median.
Quick Answer
As of April 2026, the median Nurse Practitioner salary in Texas is $131,060 per year — +2% above the US national median of $128,490. Salaries range from $96,900 (entry, 25th percentile) to $178,500 (90th percentile). Texas's cost-of-living index is 93. Texas has no state income tax.
Median
$131,060
+560.0% YoY
Entry
$102,000
Experienced
$158,100
Top 10%
$178,500
About Nurse Practitioners in Texas
NPs are advanced practice registered nurses who diagnose conditions, prescribe medications, and provide primary or specialty care.
Hot 2026 Skills
Telehealth NPMental health (PMHNP)Pediatric NPGeriatric NPFull practice authority states
ATS Keywords
NP certificationpatient careEHR (Epic)primary carepediatricmental healthtelehealth
Nurse Practitioner Salary in Texas Metros
Click any city for full breakdown including take-home pay calculator.
| City | Median |
|---|---|
| Houston | $134,915 |
| Dallas | $134,915 |
| Austin | $147,764 |
| San Antonio | $119,496 |
| Fort Worth | $131,060 |
| El Paso | $109,217 |
| Arlington | $128,490 |
How to Negotiate Your Nurse Practitioner Salary in Texas
Walk-away anchor: $119,145.
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
Negotiate Beyond Base
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
Nurse Practitioner Salary FAQ — Texas
What is the average Nurse Practitioner salary in Texas?
The average Nurse Practitioner salary in Texas is $131,060 per year as of April 2026. Salaries range from $96,900 (entry, 25th percentile) up to $178,500 (90th percentile). Texas has no state income tax — increasing take-home meaningfully.
How does Nurse Practitioner pay in Texas compare to the US average?
Nurse Practitioners in Texas earn approximately 2% more than the US national median ($128,490 nationally vs $131,060 in Texas). Texas's cost-of-living index of 93 amplifies the real purchasing power.
Did Nurse Practitioner salaries in Texas increase in 2026?
Yes — Nurse Practitioner salaries in Texas grew approximately 560.0% year-over-year, from $19,858 in 2025 to $131,060 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telehealth NP and Mental health (PMHNP) demand.
Which Texas cities pay Nurse Practitioners the most?
Top-paying Texas metros for Nurse Practitioners: Houston ($135K), Dallas ($135K), Austin ($148K). Click any city for full breakdown including take-home pay.
What's the job outlook for Nurse Practitioners in Texas?
NP roles growing 38% through 2034 — among fastest-growing US occupations. Full practice authority in 27 states drives demand. Texas's top industries include Energy/Oil & Gas, Tech, Healthcare, and the state's unemployment rate is 4.1% — steady demand for skilled workers.
Does Texas have state income tax?
No, Texas has no state income tax. This significantly boosts take-home pay vs comparable salaries in tax states like California or New York. At $131,060, you keep all of it (after federal + FICA).
What skills are most in demand for Nurse Practitioners in 2026?
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 Texas employers.
How can I increase my Nurse Practitioner salary in Texas?
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 Texas: $119,145.
Methodology
Texas Nurse Practitioner salary is the BLS national median ($128,490) adjusted by Texas's state multiplier (1.02×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.
Nurse Practitioner Salary in Other States
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