Nurse Practitioner salary in North Carolina
Updated Updated for 2026 tax law
A nurse practitioner in North Carolina earns a median of $128,990 a year ($62.01/hour equivalent), 2.5% below the national median of $132,300. North Carolina ranks #38 of 51 states. About 9,800 people do this job in North Carolina.
Take-home pay in North Carolina
At the North Carolina median, a single filer keeps about $94,793 a year after federal, FICA and North Carolina taxes — $3,646 every two weeks. Try your own numbers with the North Carolina paycheck calculator.
- Gross pay
- $4,961.15
- Federal income tax
- −$757.37
- Social Security (6.2%)
- −$307.59
- Medicare (1.45%)
- −$71.94
- North Carolina income tax
- −$178.38
- Take-home pay
- $3,645.87
Annual breakdown
- Gross
- $128,990
- Federal
- $19,692
- FICA
- $9,868
- State + local
- $4,638
- Net
- $94,793
- Marginal federal rate
- 24.0%
- Marginal state rate
- 4.0%
2026 federal brackets (Rev. Proc. 2025-32) and 2026 state rules. Estimates assume wages are your only income and use annual liability, so your actual withholding can differ slightly.
How North Carolina compares
| Rank | State | Median salary |
|---|---|---|
| #1 | California | $168,520 |
| #2 | New Jersey | $159,310 |
| #3 | Washington | $156,100 |
| #4 | Oregon | $155,680 |
| #5 | Alaska | $155,170 |
| #38 | North Carolina | $128,990 |
| #49 | Kentucky | $122,870 |
| #50 | Tennessee | $117,590 |
| #51 | Alabama | $105,750 |
See the national nurse practitioner salary page for the full pay range and all states.
BLS occupation: Nurse Practitioners (SOC 29-1171), May 2025, state estimates.
Frequently asked questions
How much does a nurse practitioner make in North Carolina?
The median salary is $128,990 a year and the average is $130,870 (BLS May 2025).
Is North Carolina a good state for nurse practitioners?
North Carolina ranks #38 of 51 states for median pay in this job, 3% below the national median of $132,300.
What is $128,990 after taxes in North Carolina?
About $94,793 a year ($3,646 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.