SOC 29-1171

Nurse Practitioner Salary in Winston-Salem, NC (2026)

Data updated · Sources: BLS OEWS May 2025, HUD FY 2027 Fair Market Rents, EPI 2026 Family Budget, 2026 tax tables · Methodology

Tax Tables: 2026 Fed + NC
COL Index: 102.58 (+2.6% vs US)
Net Compensation Yield 69.0% Realized
$90,330 / net annual direct deposit
Gross Adjusted $130,840 $62.90/hr
Effective Tax Drag 24.96% Combined Jurisdictions
Marginal Top Bracket 24% Federal Statutory
Total Withheld -$32,659 $1,256.13/check
Category 1 of 6

Wage Benchmarking & After-Tax Paycheck Engine

Dynamic statutory tax calculations based on IRS Publication 15-T and state statutory schedules.

$
2,080 annual statutory base hours $62.90 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$7,850/yr)
0% Tax Shield: ~$1,884/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$18,252
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$8,112
Medicare Hospital Insurance
Statutory 1.45%
-$1,897
North Carolina Individual Income Tax
State Marginal Bracket
-$4,399
Net Take-Home Annual Realized
$90,330 ($3,474.24 / check)
Category 2 of 6

Winston-Salem, NC Nurse Practitioner Wage Distribution

Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) Percentiles & Career Ladders

Your Salary: $130,840
MIDDLE 50% (IQR RANGE) 10th $105k 25th $117k Median: $130,840 50th (Median) $131k 75th $160k 90th $162k You: $130,840
10th (Entry) $105,120 $50.54/hr
25th (Junior) $117,010 $56.25/hr
50th (Median) $130,840 $62.90/hr
75th (Senior) $160,200 $77.02/hr
90th (Lead/Master) $161,520 $77.65/hr
Career Progression & Licensing Milestones for Nurse Practitioner in Winston-Salem, NC
1
Novice Nurse Practitioner (Outpatient)Master of Science in Nursing (MSN) or DNP, Board Certification (AANP/ANCC), State APRN license
$106,808$51.35/hr · 0-2 Years
2
Clinical Specialty Nurse PractitionerSpecialty board credentials (FNP, AGACNP, PMHNP), independent prescriptive authority
$124,867$60.03/hr · 2-5 Years
3
Lead / Senior Nurse PractitionerDepartmental leadership, advanced clinical protocols, multidisciplinary clinical management
$143,400$68.94/hr · 5-8 Years
4
Director of Advanced Practice NursingExecutive clinical leadership, health system APRN governance, doctorate in nursing practice
$166,146$79.88/hr · 8+ Years
Scaled to the Winston-Salem, NC medianView National Nurse Practitioner Salary Data
Category 3 of 6

HUD Fair Market Rent & EPI Living Wage Affordability Index

Evaluating housing affordability vs. net take-home pay in Winston-Salem, NC under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
16% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,224/month Requires minimum annual gross of $48,960
HUD Fair Market Rent (2-Bedroom) $1,332/month Requires minimum annual gross of $53,280
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $22.69/hr
Per adult, 2 working adults + 1 child: $19.52/hr
Category 4 of 6

Hourly Wage to Annual & Overtime Matrix

Translating base hourly pay and 1.5× overtime into net take-home pay based on 2,080 annual work hours in Winston-Salem, NC.

Swipe horizontally to inspect full pay schedule
Schedule Total Hours/Wk Gross Annual Est. Taxes Net Take-Home Bi-Weekly Check
Standard (40 hrs)40 hrs$130,840-$32,659$90,330$3,474.24
+5h Overtime/Wk45 hrs$155,373-$40,991$105,059$4,040.75
+10h Overtime/Wk50 hrs$179,905-$49,322$119,789$4,607.25
+15h Overtime/Wk55 hrs$204,438-$56,457$135,714$5,219.77
+20h Overtime/Wk60 hrs$228,970-$63,488$151,743$5,836.28
Category 5 of 6

Interstate MSA Relocation & State Tax Migration Comparator

Calculate required compensation, cost-of-living differences, and annual state/local tax savings between two metropolitan areas.

Equivalent Salary in Austin, TX $83,505 Cost of Living Ratio: 69.6%
Annual State & Local Tax Delta +$8,331/yr Tax savings in Austin-Round Rock-San Marcos, TX
Annual Rent Difference (1BR) -$17,676/yr Based on HUD Fair Market Rents
Net Discretionary Cash Flow Impact

Combining state tax savings and annual rent variance when relocating from San Francisco-Oakland-Fremont, CA to Austin-Round Rock-San Marcos, TX.

+$26,007/year
Category 6 of 6 · Executive Economic Briefing
2026 Fiscal Intelligence

Nurse Practitioner in Winston-Salem, NC: Compensation & Purchasing Power Briefing (2026)

Estimates compiled from BLS OEWS wages, IRS 2026 withholding rules, HUD Fair Market Rents, and North Carolina tax codes.

Market Baseline
$130,840/yr
$62.90/hr · SOC 29-1171
Statutory Tax Drag
24.96% Effective
-$32,659 in Total Taxes
HUD 1BR Shelter Ratio
16% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$6,304/mo
Post-$1,224/mo 1BR Rent

Key Economic & Compensation Takeaways

Statutory Withholding Architecture

Frequently Asked Questions

Verified Government Data Sources & Statutory Attribution

Wages sourced from US Bureau of Labor Statistics (BLS OEWS). Rents calibrated to HUD Fair Market Rents. Tax schedules calibrated to IRS IRC Title 26, IRS Pub 15-T, and state statutory revenue codes.

BLS OEWS May 2025 HUD FY2027 FMR IRS 15-T
Metro Pay Comparison SOC 29-1171
2026 Statutory Thresholds
  • Federal Standard Deduction (Single) $16,100
  • FICA OASDI Wage Base Cap $184,500
  • Pre-Tax 401(k) Elective Deferral $24,500
  • HSA Individual Annual Limit $4,400

Nurse Practitioner in Winston-Salem, NC: Market Snapshot

Nurse Practitioner roles in Winston-Salem, NC report a median annual wage of $130,840, 1.1% below the national median of $132,300. The 10th to 90th percentile band runs from $105,120 to $161,520, and HUD’s $1,224 monthly one-bedroom fair market rent equals 11.2% of that median gross pay. The single-adult living wage benchmark for the area is $22.69 per hour.

Highest-paying metropolitan areas for Nurse Practitioner

Metropolitan areaMedian annual wageVs this market
San Jose-Sunnyvale-Santa Clara, CA$231,560+77.0%
San Francisco-Oakland-Fremont, CA$219,080+67.4%
Vallejo, CA$182,370+39.4%
Napa, CA$176,270+34.7%
Modesto, CA$173,380+32.5%
Sacramento-Roseville-Folsom, CA$172,010+31.5%
Riverside-San Bernardino-Ontario, CA$169,920+29.9%
Hanford-Corcoran, CA$168,540+28.8%
Santa Cruz-Watsonville, CA$167,190+27.8%
Chico, CA$167,080+27.7%

Top-paying occupations benchmarked in Winston-Salem, NC

OccupationMedian annual wageMedian hourly
Chief Executives$273,710$131.59/hr
Computer and Information Systems Managers$160,900$77.36/hr
Marketing Managers$160,570$77.20/hr
Fundraising Managers$158,460$76.18/hr
Architectural and Engineering Managers$155,200$74.62/hr
Financial Manager$155,030$74.53/hr
Natural Sciences Managers$148,710$71.50/hr
Public Relations Managers$140,680$67.63/hr
Human Resources Managers$137,110$65.92/hr
Sales Managers$132,550$63.73/hr

Wage data: U.S. Bureau of Labor Statistics OEWS May 2025, 383 metropolitan areas publishing this occupation; HUD FY2027 Fair Market Rents; EPI Family Budget Calculator. Taxes use 2026 federal and state rules. Data last updated .

Regional Labor Market & Career Mobility Network

Explore adjacent occupations and neighboring metropolitan wage benchmarks for peer compensation analysis.

Nurse Practitioner Salary in Winston-Salem, NC (2026) Overview

Nurse Practitioner median pay in Winston-Salem, NC is $130,840 a year ($62.90/hr). See take-home pay after 2026 taxes, BLS wage percentiles, HUD rents & living. Official 2026 economic data for Nurse Practitioner in Winston-Salem, NC compiled from Bureau of Labor Statistics OEWS surveys, HUD Fair Market Rents, and statutory tax codes.

Quick answers
What is the median salary for a Nurse Practitioner in Winston-Salem, NC?

The median annual wage is $130,840 ($62.90 per hour). The middle 80% of earners make between $105,120 and $161,520. Source: BLS OEWS (May 2025).

What is the take-home pay for a Nurse Practitioner in Winston-Salem, NC after taxes?

On the median wage of $130,840, a single filer with no pre-tax deductions takes home about $95,983 a year ($7,999 a month) after $34,857 in federal, FICA, state and local taxes, an effective rate of 26.64%, using 2026 tax rules.