How Much Does a Pediatric Nurse Practitioner (PNP) Make?

Pediatric nursing requires passion, compassion, and knowledge of children-specific healthcare. The National Association of Pediatric Nurse Practitioners (NAPNAP) defines pediatric nurse practitioners (PNPs) as “experts in pediatrics and advocates for children.” Anyone with a sick or injured child knows the value of pediatric nurse practitioners, APRNs who provide healthcare for children from birth through adolescence. How much do health systems compensate PNPs for their expertise? This guide discusses how much pediatric nurse practitioners can expect to earn at the macro and granular levels throughout their careers. 

From the big picture perspective, at the macro level, nurse practitioners are part of a collection of rapidly growing healthcare careers. The US Bureau of Labor Statistics (BLS 2022) projects that healthcare occupations will grow 13 percent from 2021 to 2031. This is more than double the national average for all occupations (5 percent), and the BLS estimates this demand will create two million jobs in the coming decade.  

Narrowing in on nurse practitioner careers, the numbers increase and paint a bright picture for current and future NPs. According to the BLS (@022), the occupational demand for nurse practitioners, nurse anesthetists, and nurse midwives will grow 40 percent from 2021 to 2031, which is eight times greater than the national average. The BLS shows that these three categories of nurse practitioners earned median annual salaries of $123,780.

While the data mentioned above includes pediatric nurse practitioners, the question remains: what’s a typical salary for NPs with pediatric specialties? Data from in November 2022 shows the average annual salary for pediatric NPs is similar to BLS estimates at $112,900.’s pediatric NP salary spectrum ranges from $105,500 to $118,500 based on education, certification, years of experience, and employment location., an aggregator of self-reported salary profiles, shows slightly lower figures, with an average annual salary of $94,841 per year for pediatric NPs. shows the bottom 10th percentile earns $77,000 compared to $121,000 per year based on 818 self-reported pediatric NP profiles. 

What does it take to become a pediatric nurse practitioner (PNP)? Pediatric NPs are advanced practice registered nurses (APRNs) who provide primary and acute care to children and adolescents. PNPs must complete a pediatric-focused graduate or doctoral program and earn certification from a national body such as the American Nurses Credentialing Center (ANCC) to work legally in all 50 states. 

In addition to providing primary pediatric care, PNPs may specialize in a particular acute care area, such as cardiology, oncology, or critical care. PNPs often work in pediatrician offices but may also work in hospitals, clinics, or other healthcare settings. Pediatric NPs typically have a solid working knowledge of child development and are skilled at communicating with children and their families. 

So what factors influence a pediatric nurse practitioner’s earning potential? Keep reading to learn more about how much a pediatric nurse practitioner makes based on location, specialization, years of experience, and levels of education.

Number of Employed Pediatric Nurse Practitioners & Salary Percentiles

In May 2021, the BLS reported that 234,690 nurse practitioners were working in all 50 states, while the Zippia (Nov. 2022) shows that more than 161,158 pediatric NPs are employed in the United States. The following is a salary breakdown based on education, experience, location of employment, and cost of living: 

Nurse PractitionersPediatric Nurse Practitioners
Number of professionals employed234,690161,158
10th percentile$79,470$98,763
25th percentile$99,540$105,500
50th percentile (median)$120,680$112,900
75th percentile$129,680$118.500
90th percentile$163,350$123,599
SourceBLS, May, Nov. 2022

Top-Paying Cities for Pediatric Nurse Practitioners

The following are nine metropolitan areas and cities that offer the highest average annual salary for pediatric nurse practitioners, according to self-reported data from in September 2022. Also included is the estimated number of employed professionals in each location.

Metropolitan areaNumber of self-reported PNP salariesAnnual salary
Los Angeles, CA$216,597
Atlanta, GA5$137,068
St. Louis, MO28 $106,960
Baltimore, MD$129,461
Fresno, CA7$121,842
Long Beach, CA5$121,179
Chicago, IL5$118,287
Houston, TX 11$111,959
San Antonio, TX7$102,727
Source:, Nov. 2022

Top-Paying States for Pediatric Nurse Practitioners

According to, the states with the highest-paying pediatric nurse practitioners in November 2022 are concentrated in coastal areas. 

However, the Missouri Economic Research and Information Center (MERIC 2022) reveals that these areas also have a higher cost of living than most places in the U.S. New York, for example, is the fifth most expensive state to live, and Alaska and Massachusetts are ranked third and seventh most expensive states to live, respectively. 

StateAnnual salaryNumber of employed PNPs
New York$113,8721,269
New Jersey$120,187432
New Hampshire$100,349132

Top-Employing Industries for Pediatric Nurse Practitioners

Pediatric nurse practitioners work in all types of healthcare settings, including hospitals, K-12 schools, universities, private clinics, and government health organizations. Here are the top-employing industries for pediatric nurse practitioners according to Zippia in November 2022: 

  • Healthcare: 63 percent
  • Education: 14 percent
  • Government: 5 percent
  • Professional: 4 percent
  • Finance: 1 percent

The BLS shows nurse practitioners, in general, are employed mostly by offices of physicians. Here are the largest employers of nurse anesthetists, nurse midwives, and nurse practitioners (BLS 2022): 

  • Offices of physicians: 47 percent
  • Hospitals; state, local, and private: 25 percent 
  • Outpatient care centers: 9 percent
  • Offices of other health practitioners: 5 percent
  • Educational services; state, local, and private : 3 percent

Top-Paying Skills for Pediatric Nurse Practitioners

Having patient-specific skill sets can be lucrative for pediatric nurse practitioners. According to self-reported data from (2022), there are 10 skills that increase pediatric nurse practitioner salaries. Here are the skills and their percentage increase based on 818 salary profiles: 

  • Pain management: 16 percent
  • Emergency/trauma: 15 percent
  • Oncology: 11 percent
  • Autism Spectrum Disorders (ASD): 11 percent
  • Case management: 10 percent
  • Electronic medical records: 9 percent
  • Intensive care unit: 9 percent
  • Orthopedics: 7 percent
  • Acute care: 6 percent
  • Cardiology: 3 percent
Rachel Drummond

Rachel Drummond


Rachel Drummond is a freelance writer, educator, and yogini from Oregon. She’s taught English to international university students in the United States and Japan for more than a decade and has a master’s degree in education from the University of Oregon. A dedicated Ashtanga yoga practitioner, Rachel is interested in exploring the nuanced philosophical aspects of contemplative physical practices and how they apply in daily life. She writes about this topic among others on her blog (Instagram: @racheldrummondyoga).