As the healthcare industry evolves, two of the most sought-after mid-level providers remain Nurse Practitioners (NPs) and Physician Assistants (PAs). Both roles are vital to patient care and offer rewarding salaries. If you’re deciding between the two professions or just curious about compensation trends, this 2025 guide offers everything you need to know about NP vs PA salaries—including average pay, influencing factors, job outlook, and more.
Average Salary: NP vs PA in 2025
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Nurse Practitioner (NP):
As of 2025, the average NP salary is approximately $123,800 annually, with ranges between $105,000 to $145,000, depending on location and specialization. -
Physician Assistant (PA):
PAs earn slightly higher on average, with an annual salary of around $128,500, ranging from $110,000 to $150,000.
Take-Home Pay for $103K Salary
For professionals earning $103,000 per year:
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Estimated take-home after taxes: Approximately $72,000–$77,000 annually depending on state taxes, benefits, and deductions.
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Monthly net income: Around $6,000–$6,400.
Factors Influencing NP and PA Salaries
Several variables impact how much NPs and PAs earn in 2025:
1. Experience Level
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Entry-Level (0–2 years):
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NP: $95,000–$105,000
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PA: $100,000–$110,000
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Mid-Level (3–6 years):
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NP: $110,000–$125,000
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PA: $115,000–$130,000
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Senior-Level (7+ years):
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NP: $130,000–$145,000
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PA: $135,000–$150,000+
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2. Specialization
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PAs in surgical or emergency specialties tend to earn more.
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NPs in psychiatric or acute care roles often command higher salaries.
3. Geographic Location
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States like California, New York, and Washington offer higher salaries.
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Rural areas may offer more incentives due to demand but slightly lower base pay.
4. Work Setting
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Hospitals and specialty clinics generally offer more competitive pay than primary care practices.
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Telehealth roles have also seen salary growth in 2025.
Job Market Trends for 2025
Growing Demand
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The Bureau of Labor Statistics projects NP jobs to grow by 38% and PA jobs by 27% from 2022 to 2032.
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This growth is driven by healthcare provider shortages and an aging population.
Increasing Autonomy
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NPs are gaining more full-practice authority in many states, which improves job flexibility and earning potential.
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PAs continue to benefit from expanded scope under physician collaboration agreements.
Competitive Opportunities
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Employers are offering sign-on bonuses, loan repayment programs, and remote options to attract talent.
Education and Certification Impact
Nurse Practitioner Requirements
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Education: Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)
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Certification: Board certification in specialty (e.g., AANP, ANCC)
Physician Assistant Requirements
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Education: Master’s degree from an accredited PA program
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Certification: NCCPA certification (PANCE)
Higher education levels like a DNP or additional certifications (e.g., Acute Care, Psychiatric-Mental Health) often lead to higher salaries for NPs. Similarly, PAs with specialty training or fellowships can command better compensation.
Benefits and Perks
Beyond salary, both professions typically receive:
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Health insurance
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Retirement contributions (401k)
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Continuing education stipends
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Paid time off and sick leave
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Malpractice insurance
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Flexible scheduling or telemedicine options
Conclusion:
While PAs hold a slight edge in average salary in 2025, the gap is narrowing. Your ultimate earning potential as an NP or PA depends on your specialty, experience, location, and certifications. Both roles offer strong job security, excellent benefits, and growing opportunities—making either a solid choice in today’s healthcare job market.
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