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Nurse Practitioner Salary in Alabama for 2022


Written By: Editorial Staff @ NursingProcess.org

Alabama has some of the most proscriptive laws in the nation when it comes to nurse practitioners’ scope of practice, and this affects the average salary of a nurse practitioner in Alabama. Not only are NPs in the Yellowhammer State required to have a collaborative agreement with a supervising physician in place before they can practice, but that physician must be on-site with the NP at least 10 percent of the time. NPs can’t sign death certificates. They can't sign handicap parking permits. They can't even sign permissions to play on sports teams (though they can perform the necessary physicals). The name and phone number of their supervising physician must appear on every bottle of medication they prescribe. How much does a nurse practitioner make in Alabama? This article provides a comprehensive look at the nurse practitioner salary in Alabama for 2022.


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What is the Starting Salary of a Nurse Practitioner in Alabama?


The average entry-level nurse practitioner salary in Alabama is$36.68 an hour, which multiplies out to $6,360 a month or $76,290 annually. This is $19,225 or 21 percent less than the average entry-level nurse practitioner salary across all parts of the U.S., which is $44 an hour or $90,925 a year. But in Alabama, where the average starting salary for all occupations is just $13 an hour or $32,221 a year, this is a handsome salary.

That’s because a dollar stretches farther in Alabama than it does in most other states. Average housing costs in the Yellowhammer State are roughly 56 percent of what they are in the U.S. as a whole. Entry-level wages are tied to the cost of living, and Alabama has one of the lowest costs of living of any state in the U.S.

Hourly$36.68
Monthly $6,360
Annual $76,290
(Source: U.S. Bureau of Labor Statistics)


What is the Average Salary of a Nurse Practitioner in Alabama?


An NP’s average salary is influenced by factors like geographical location, education, experience, and practice setting. What is the average salary of a nurse practitioner in Alabama? According to Forbes Magazine, Alabama is the lowest-paying state for NPs; the average nurse practitioner salary in Alabama is 15 percent less than the national average. The average salary of a nurse practitioner in Alabama is $49.24 an hour, which comes to $8,530 a month or $102,410 a year. Most nurse practitioners reach this benchmark at some point between their fifth and ninth year of employment.

Education has an effect on wage-earning capacity as well. Nurse practitioners who’ve earned a Doctor of Nursing Practice (DNP) degree earn between $110,130 and $128,480 a year on average according to the Alabama Department of Labor, which is approximately 10 to 30 percent more than the state average for all NPs, most of whom presumably hold Master of Nursing Science (MSN) degrees.

Only 350 Alabama nurse practitioners—or 9 percent of the Yellowhammer State’s NP workforce—are employed in outpatient care practice settings, but they are among the highest NP salary earners in the state. Outpatient care centers have become one of the biggest profit centers for medical systems, and their revenues depend upon the ability to treat large volumes of patients. Within an outpatient center environment, NPs perform many of the same procedures that physicians perform, so they can function as effective physician substitutes.

Hourly$49.24
Monthly $8,530
Annual$102,410
(Source: U.S. Bureau of Labor Statistics)


Nurse Practitioner Salary in Alabama by Years of Experience


The starting nurse practitioner salary in Alabama is $36.68 an hour, which works out to $6,360 a month or $76,290 a year. Lower starting salaries reflect the fact that while NPs who’ve just graduated from one of the best nurse practitioner programs in Alabama may have the clinical skills they need to work with patients, they may not have developed the decision-making skills they need for effective management and leadership.

By the time they’ve been at the job for one to four years, Alabama nurse practitioners can expect their salaries to increase by 19 percent to $85,150 annually. With five to nine years of experience under their belts, NPs in the Yellowhammer State can expect their wages to rise another 14 percent to $99,750 a year. Alabama nurse practitioners who remain in their profession for 20 years or more can look forward to earning $128,460 annually, which is an 80 percent increase over their entry-level salaries.

Years of Experience Hourly Monthly Annual
Starting (Entry-Level)$36.68$6,360$76,290
1-4 Years of Experience$40.94$7,100$85,150
5-9 Years of Experience$47.96$8,310$99,750
10-19 Years of Experience$56.91$9,860$118,370
20 Years or More Experience$61.76$10,710$128,460
(Source: U.S. Bureau of Labor Statistics)


Total Annual Nurse Practitioner Compensation (Including Other Benefits) in Alabama


Salary is only part of the pie when it comes to compensation for nurse practitioners in Alabama. Hospitals, physicians’ offices, outpatient care centers, and other employers offer nurse practitioners a wide range of non-salaried benefits that include medical and dental insurance, life insurance, paid time off, and retirement account contributions. From the NP’s point of view, benefits are a good deal because they’re non-taxable compensation; from the employer’s point of view, benefits are a worthwhile investment because they provide an incentive to work for a particular hospital or practice.

For Alabama-based NPs working in the private sector, benefits have a value of $43,304 on average, bringing the valuation of a nurse practitioner’s total compensation package to $145,804 annually. The cash value of the benefits they receive comes to 42 percent of their nurse practitioner salary in Alabama.

For Alabama-based NPs employed by the state or local government, benefits have a value of $62,406 on average, bringing the valuation of a nurse practitioner’s total compensation package to $163,796 annually. The cash value of the benefits they receive comes to 62 percent of their nurse practitioner salary in Alabama.

One of the things you should take away from this is that salary doesn’t tell the whole story of compensation. If you only looked at salary figures, it looks as though working in the private sector is a better financial deal for Alabama nurse practitioners. But when you add non-salaried benefits into the equation, that does not turn out to be the case.

Component Private Industry State and Local Government
Paid Leave $10,789 $12,449
Supplemental Pay $5,103 $1,638
Insurance $11,373 $19,164
Retirement and Savings $4,957 $20,311
Legally Required $11,081 $9,009
Total Benefits $43,304 $62,406
Average Annual Salary $102,500 $101,390
Total Compensation $145,804 $163,796
(Source: U.S. Bureau of Labor Statistics)


Nurse Practitioner Salary in Alabama by Practice Setting


Some 1,880 NPs in the Yellowhammer State are employed by physicians’ practices. On average, these nurse practitioners earn significantly less than nurse practitioners who work in hospitals or outpatient care centers affiliated with medical systems. The average salary for an Alabama NP working in a physician’s office is $94,470 a year while the average salaries for NPs working in hospitals and outpatient care centers are $106,680 and $112,080 respectively. Hospital-based NPs in Alabama make 6 percent more than NPs who work in physicians’ offices while NPs who work in outpatient care centers make 11 percent more.

This salary differential may be due to the fact that operational expenses such as rent, malpractice insurance, and medical equipment depreciation take up a larger percentage of overall revenue in smaller practices than in larger medical operations where economies of scale can be expected to apply. Additionally, since Alabama is a mandatory physician consultation state, physicians may feel entitled to a larger portion of the revenues.

Type of Practice SettingHourlyAnnual
Offices of Physicians$47.92$99,660
Hospitals$51.30 $106,680
Outpatient Care Centers$53.89 $112,080
Offices of Other Health Practitioners $45.42 $94,470
Colleges, Universities and Professional Schools$46.26 $96,200
(Source: U.S. Bureau of Labor Statistics)


Nurse Practitioner Salary in Alabama by Specialty


1. Adult Gerontology-Acute Care Nurse Practitioner:

Adult gerontology-acute care nurse practitioners primarily work with patients in hospital settings. While AG-ACNPs are trained to oversee the care of patients 13 years of age and older, they receive specialized training in the care of the elderly. Twenty-eight percent of Alabama’s population is over the age of 62. Members of this elderly population are the largest utilizers of hospital services in the Yellowhammer State, so the demand for AG-ACNPs is high. The average adult-gerontology acute care nurse practitioner pay in Alabama is $49.82 an hour or $103,630 annually.

Hourly$49.82
Annual $103,630


2. Adult Gerontology-Primary Care Nurse Practitioner:

Adult gerontology-primary care nurse practitioners have extensive training in wellness promotion and preventative care, which are the basic components of primary care. While they are trained to work with all patients over the age of 13, they have special expertise in the health challenges of geriatric populations. Sixty-two out of Alabama’s 67 counties are facing a significant shortage of primary care providers, which could be remedied if AG-PCNPs were granted full practice authority. The average adult-gerontology primary care nurse practitioner salary in Alabama is $47.12 an hour or $98,000 a year, making them the lowest-paid among Alabama’s NP specialties.

Hourly$47.12
Annual $98,000


3. Dermatology Nurse Practitioner:

Alabama dermatology nurse practitioners are associated with dermatology practices and the offices of cosmetic surgeons throughout the Yellowhammer State’s larger metropolitan areas, including Birmingham, Montgomery, and Huntsville. The average dermatology nurse practitioner salary in Alabama is $49.14 an hour or $102,210 annually.

Hourly$49.14
Annual $102,210


4. Family Nurse Practitioner:

Family nurse practitioners are primary care experts, specializing in wellness promotion and the types of preventative education that aim to help patients avoid illnesses by demonstrating ways patients can alter their behaviors. Alabama is facing a serious shortage of primary care providers: According to a report from the U.S. Department of Health and Human Services, only 10 of the Yellowhammer State’s 67 counties have access to adequate primary care services. While FNPs have the training that could expand this access, Alabama’s restrictive collaborative practice laws prevent them from doing so.

Reducing regulatory restrictions on family nurse practitioners in Alabama has the potential to improve healthcare throughout the Yellowhammer State’s rural and medically underserved communities. FNPs have consistently demonstrated the ability to deliver high-quality healthcare at a lower cost than the costs associated with other primary care providers. In the meantime, however, Alabama’s family nurse practitioners for the most part work as adjuncts to physician practices in larger cities like Birmingham, Montgomery, and Huntsville. The average family nurse practitioner salary in Alabama is $48.87 an hour or $101,660 annually.

Hourly$48.87
Annual$101,660


5. Neonatal Nurse Practitioner:

Neonatal nurse practitioners specialize in the care of medically fragile newborns; they work in technologically sophisticated hospital settings called neonatal intensive care units. NNPs are in high demand in Alabama because the state has one of the highest incidences of preterm birth in the U.S.: 12.5 percent of all live births in the Yellowhammer State are premature. Neonatal nurse practitioners are the highest-paid nurse practitioners in Alabama. The average neonatal nurse practitioner salary in Alabama is $52.46 an hour or $109,120.

Hourly$52.46
Annual $109,120


6. Pediatric-Acute Care Nurse Practitioner:

When children get severely ill, they may respond quite differently from the ways that adults with the same illnesses respond. Pediatric-acute care nurse practitioners care for children affected by severe illnesses and injuries in critical care settings such as pediatric intensive care units and trauma centers. In Alabama, these critical care units are associated with specialized pediatric hospitals such as Children's Hospital of Alabama at UAB in Birmingham and Huntsville Hospital for Women & Children in Huntsville. The average pediatric-acute care nurse practitioner salary in Alabama is $51.13 an hour or $106,340 a year.

Hourly$51.13
Annual $106,340


7. Pediatric-Primary Care Nurse Practitioner:

Pediatric-primary care nurse practitioners provide children with primary care services like wellness checkups, vaccinations, and treatment for common illnesses. In Alabama, you’ll find P-PCNPs working in pediatricians’ offices, schools, hospital emergency departments, and urgent care clinics. The average pediatric-primary care nurse practitioner salary in Alabama is $47.34 an hour or $98,460 annually.

Hourly$47.34
Annual $98,460


8. Psychiatric-Mental Health Nurse Practitioner (PMHNP):

According to the Substance Abuse and Mental Health Services Administration (SAMHSA) division of the U.S. Department of Health and Human Services, more than 176,000 Alabama residents are affected by mental illnesses such as schizophrenia, bipolar disorder, and major depression but fewer than half these individuals receive any form of treatment for their conditions.

Psychiatric-mental health nurse practitioners have the training that would allow them to offer the assessment, diagnosis, and management these individuals need were it not for restrictions on their scope of practice that limit their ability to offer proactive care. Alabama has one of the lowest per capita numbers of psychiatrists of any state in the U.S., and P-MHNPs in Alabama can only work in a manner that’s consistent with the collaborating physician's areas of practice and function. The average psychiatric nurse practitioner salary in Alabama is just under $52 an hour or $107,060 a year.

Hourly$51.47
Annual $107,060


9. Women's Health Nurse Practitioner:

Women’s health nurse practitioners specialize in the treatment of gynecological concerns and related healthcare issues over the course of a woman’s lifespan. In Alabama, women’s health nurse practitioners are employed by OB-GYN practices, community health agencies, and family planning clinics. On average, women’s health nurse practitioner salary in Alabama is $47.34 an hour or $98,460 annually.

Hourly$47.34
Annual $98,460


Nurse Practitioner Salary in Alabama by City


1. Birmingham:

The residents of Birmingham have high incidences of chronic health conditions like obesity, diabetes, hypertension, and cardiac disease. In 2019, the University of Alabama at Birmingham in partnership with stakeholders from East Lake, Bush Hills, Kingston, North Titusville, and other Birmingham neighborhoods launched a proactive campaign designed to help tackle these health issues. Top-ranked hospitals in Birmingham include the University of Alabama at Birmingham Hospital, Ascension St. Vincent's Birmingham, and Ascension St. Vincent's Blount Hospital. The average nurse practitioner salary in Birmingham is $49.12 an hour or $102,170 annually.

Hourly$49.12
Annual $102,170


2. Huntsville:

Nearly one-third of Huntsville’s population is obese. The city also has incidences of hypertension, diabetes, sexually transmitted diseases, and infant mortality that are higher than Alabama as a whole. To counteract these alarming health trends, the Huntsville-Madison County Health Department is partnering with various community organizations on a Healthy Huntsville initiative. The city’s leading medical center, Huntsville Hospital, is ranked among the nation’s best for cardiac and spine surgery. On average, the salary of a nurse practitioner in Huntsville, AL, is $50.86 an hour or $105,790 a year.

Hourly$50.86
Annual $105,790


3. Montgomery:

Montgomery is the Yellowhammer State’s capital city and serves as a healthcare hub for all of central Alabama. The area has higher than average rates of hypertension, diabetes, high cholesterol, depression/anxiety/mood disorders, and coronary artery disease, which healthcare workers attribute to lifestyle factors like unhealthy diets, lack of exercise, smoking, and stress. Montgomery’s medical centers include Jackson Hospital, Baptist Medical Center South, and Baptist Medical Center East. The salary of a nurse practitioner in Montgomery averages $48.87 an hour or $101,640 a year.

Hourly$48.87
Annual $101,640


4. Mobile:

More than 22 percent of Mobile’s residents live in poverty, and this has a negative impact upon the health of Mobile’s residents as well as upon the health of residents who live in surrounding Baldwin and Mobile Counties. The area’s residents struggle with chronic health problems such as hypertension, high cholesterol, obesity, diabetes, and depression as well as with social problems like domestic violence, substance abuse, and child abuse and neglect. Access to healthcare is also an issue here since Alabama is one of the states that chose not to expand Medicaid coverage eligibility as part of the Affordable Care Act. The average NP salary in Mobile, AL, is $46.22 an hour or $96,140 annually.

Hourly$46.22
Annual$96,140


5. Tuscaloosa:

Approximately one-third of Tuscaloosa’s residents are clinically obese. Obesity is linked with myriad other chronic health conditions such as diabetes, hypertension, and cardiac disease. One out of every four Tuscaloosa residents lives below the poverty line, and this also has a significant impact upon the health of the people who live in this city. Tuscaloosa serves as a healthcare hub for surrounding parts of western Alabama. Hospitals located in Tuscaloosa include University Medical Center, DCH Regional Medical Center, and Tuscaloosa VA Medical Center. The average NP salary in Tuscaloosa, AL, is $51.05 an hour or $106,180 annually.

Hourly$51.05
Annual$106,180


NP Pay in Alabama VS. Other Nursing Careers


Although nurse practitioners in Alabama make 15 percent less than nurse practitioners throughout the entire U.S., they’re among the most highly paid nursing professionals in the Yellowhammer State. Their educational investment pays off well: At $102,410 a year, their salaries are 65 percent higher than registered nurses who did not go on to pursue an advanced practice degree.

However, the dual constraints of a lower salary and a restricted scope of practice may serve as incentives for many Alabama-educated NPs to leave the state once they’ve finished their advanced practice studies. This has the potential to exacerbate Alabama’s already serious primary healthcare provider shortage.

OccupationAverage Annual Salary
Nurse Anesthetist$188,840
Nurse Practitioner$102,410
Nursing Instructor and Teacher, Postsecondary$77,760
Registered Nurse$61,920
Licensed Practical and Licensed Vocational Nurse$41,540
Nursing Assistant$26,590
(Source: U.S. Bureau of Labor Statistics)


NP Pay in Alabama VS. Other Healthcare Careers


Nurse practitioners in Alabama make $102,410 a year, which is significantly less money than healthcare professionals like dentists, pharmacists, and podiatrists who’ve graduated from doctoral-level programs. This is likely a direct effect of Alabama’s proscriptive scope of practice regulations. Until NPs in the Yellowhammer State gain fuller practice authority, they will continue to be regarded as ancillary medical staff and paid accordingly.

In the meantime, though, Alabama nurse practitioners are the state’s highest-paid ancillary medical professionals. They earn 13 percent more than physician assistants (who make $95,470 annually), 16 percent more than occupational therapists (who earn $84,710 annually), and 7 percent more than physical therapists (who earn $94,210 annually).

Occupation Average Annual Salary
Dentist $176,910
Podiatrist $130,040
Pharmacist $126,950
Optometrist $120,380
Veterinarian $105,660
Nurse Practitioner $102,410
Physician Assistant $95,470
Physical Therapist $94,210
Occupational Therapist $84,710
Chiropractor $80,120
Audiologist $73,580
Speech-Language Pathologist $70,160
(Source: U.S. Bureau of Labor Statistics)


Why is the Outlook Bright for Nurse Practitioner Salary in Alabama?


Nurse practitioners in Alabama with DNP degrees earn higher salaries than nurse practitioners with MSN degrees. If a doctoral degree becomes the entry-level degree mandated for all advanced practice nursing roles—as recommended by the American Association of Colleges of Nursing (AACN)—it’s likely to boost NP salaries across the state, even among nurse practitioners who are grandfathered in with MSNs.

Though Alabama has been resistant to changing regulatory restrictions, expanded NP practice authority is the wave of the future. Fourteen states and the District of Columbia grant full practice authority as soon as NPs earn their licenses while another 14 states allow NPs to earn full practice authority after practicing with physician oversight for a set number of hours. In 2016, the Department of Veterans Affairs amended provider regulations to permit full practice authority to NPs, indicating support for full NP practice authority at the federal level.

Alabama was one of many states that waived parts of its strict NP practice requirements in the wake of the COVID-19 crisis. This will almost certainly lead to a reevaluation of those practice requirements. As those practice requirements are relaxed, you can expect to see the average nurse practitioner salary in Alabama increase.


Summing It Up


This article provides answers to the question: How much does a nurse practitioner make in Alabama? The average salary of a nurse practitioner in Alabama for 2022 is an important consideration in your NP career trajectory, but other factors such as personal fulfillment and opportunities for advancement may be just as important. Once you find an NP position that’s a good match for your particular personality and skill set, you can always increase your earning capacity by pursuing additional certifications within your chosen niche specialization.


TOP QUESTIONS ANSWERED BY OUR EXPERT


1. How many Nurse Practitioners are currently employed in Alabama?

Currently, 4,300 nurse practitioners are working in the state of Alabama.

4,300
(Source: U.S. Bureau of Labor Statistics)

2. How much does a nurse practitioner make per hour in Alabama?

The average nurse practitioner salary per hour in Alabama is $49.24. NPs typically reach this benchmark after they’ve garnered at least a decade’s worth of experience at the job. Alabama nurse practitioners start out making $36.68 an hour, so the average salary represents a 40 percent increase in their earning capacity. By the time Alabama NPs have worked for two decades or more, they can expect to make $61.76 an hour or 81 percent more than their starting hourly wage.

Years of ExperienceHourly
Starting (Entry-Level)$36.68
1-4 Years of Experience$40.94
5-9 Years of Experience$47.96
10-19 Years of Experience$56.91
20 Years or More Experience$61.76
Average Hourly Salary$49.24
(Source: U.S. Bureau of Labor Statistics)

3. How does the average salary of a nurse practitioner in Alabama compare to the average NP salary in the U.S?

The average NP salary in Alabama is $102,410, which is nearly 13 percent less than the average NP salary across the U.S.

Alabama United StatesDifference
Number %
$102,410$118,040-$15,630-13.24%
(Source: U.S. Bureau of Labor Statistics)

4. How much does a family nurse practitioner make in Alabama?

The average FNP salary in Alabama is $48.87 an hour, which multiplies out to $8,470 a month or $101,660 annually.

Hourly$48.87
Monthly$8,470
Annual$101,660

5. How much does a psychiatric nurse practitioner make in Alabama?

The average PMHNP salary in Alabama is $51.47 an hour, which comes to $8,930 a month or $107,060 a year.

Hourly$51.47
Monthly$8,930
Annual$107,060

6. What are the 5 highest-paid Nurse Practitioners in Alabama?

The highest-paid nurse practitioner in Alabama is the neonatal nurse practitioner at $109,120 a year. Other high-earning nurse practitioners in the Yellowhammer State include psychiatric-mental health nurse practitioners ($107,060), pediatric-acute care nurse practitioners ($106,340), adult gerontology-acute care nurse practitioners ($103,630), and dermatology nurse practitioners ($102,210).

RankType of NPAnnual
1Neonatal Nurse Practitioner$109,120
2Psychiatric-Mental Health Nurse Practitioner (PMHNP)$107,060
3Pediatric-Acute Care Nurse Practitioner$106,340
4Adult Gerontology-Acute Care Nurse Practitioner$103,630
5Dermatology Nurse Practitioner$102,210

7. What are the 5 highest paying cities for Nurse Practitioners in Alabama?

Nurse practitioners employed in the Tuscaloosa metropolitan area earn $106,180 a year, which is 37 percent more than the average salary nurse practitioners earn in Alabama. Other cities in Alabama where nurse practitioners earn more than the state average include the Huntsville area ($105,790), Gadsden ($105,250), and Birmingham-Hoover ($102,170).

RankCityAverage Annual Salary
1Tuscaloosa$106,180
2Huntsville$105,790
3Gadsden$105,250
4Birmingham-Hoover,$102,170
5Montgomery$101,640
(Source: U.S. Bureau of Labor Statistics)

8. How much do Nurse Practitioners earn in the various metros of Alabama?

Nurse practitioners working in the greater Tuscaloosa metropolitan area earn the highest salaries on average in the Yellowhammer State. They make $106,180 a year, which is two-thirds more than nurse practitioners working in Dothan earn ($93,550).

Metro Employment Per Hour Per Year
Anniston-Oxford-Jacksonville 70 $46.74 $97,220
Auburn-Opelika 110 $46.92 $97,600
Birmingham-Hoover 1,290 $49.12 $102,170
Daphne-Fairhope-Foley 120 $48.38 $100,640
Decatur 90 $45.76 $95,170
Dothan 170 $44.98 $93,550
Florence-Muscle Shoals 140 $48.82 $101,550
Gadsden 90 $50.60 $105,250
Huntsville 630 $50.86 $105,790
Mobile 320 $46.22 $96,140
Montgomery 260 $48.87 $101,640
Tuscaloosa 210 $51.05 $106,180
(Source: U.S. Bureau of Labor Statistics)

9. Where do the majority of Nurse Practitioners practice in Alabama?

Some 2,020 nurse practitioners or 48 percent of Alabama’s NP workforce are employed in physicians’ offices. Another 970 NPs (24 percent) are employed in hospitals.

Type of Practice Setting Number of Nurse Practitioners
Offices of Physicians2,020
Hospitals970
Outpatient Care Centers410
Colleges, Universities and Professional Schools170
Offices of Other Health Practitioners110
(Source: U.S. Bureau of Labor Statistics)

10. What are the approximate number of annual job openings for nurse practitioners in Alabama for 2022?

Ninety-two newly created nurse practitioner jobs will be opening up in Alabama in 2022. When added to the 228 positions that need to be filled because the nurse practitioners who occupied them either retired or moved out of state, the total number of annual job openings will be 320.

New Jobs Replacement Jobs Annual Job Openings (New + Replacement)
92228320
(Source: careeronestop.org)

11. What is the job outlook for NPs in Alabama?

The demand for nurse practitioners is projected to grow by 24 percent between 2018 and 2028.

Employment Employment Growth (2018-2028)
2018 2028 Number %
3,8004,72092024.21%
(Source: careeronestop.org)