PermanentPosted 14 days ago
Neonatal Nurse Practitioner - Varied Shift
Valley Children's Healthcare · Fresno, CA
$84.64–$122.73/ hour
Top 25% pay
Nurse Practitioner jobs in Fresno, CA
The median nurse practitioner pay in the Fresno area is $77.67 per hour ($161,550 a year), with the typical range running from $65.98 to $83.27. 2 open roles with published pay are listed for Fresno. The CMS hospital directory lists 5 hospitals in Fresno. The free report below lists employers near Fresno and what they pay.
- $77.67median pay per hour, Fresno
- $66–$83typical range per hour
- 640nurse practitioners employed in the metro area
- 2open roles with published pay
Open Nurse Practitioner roles in Fresno
PermanentPosted 20 days ago
Virtual Family Nurse Practitioner - CA Licensed
One Medical · Fresno, CA
$59.10–$65.50/ hour
For youUpdated weekly
55+ more Nurse Practitioner roles for you in Fresno, CA
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Get the Fresno Nurse Practitioner pay report
Named employers near Fresno, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportWho is hiring nurse practitioners near Fresno
| Employer | Roles | Median pay / hour |
|---|---|---|
| Valley Children's Healthcare | 1 | $103.69 |
| One Medical | 1 | $62.30 |
Nurse Practitioner pay in Fresno, CA
The metro median is 3% below the California statewide median of $80.10 per hour. Nationally the median is $62.12 per hour. BLS counts about 640 nurse practitioners employed in the Fresno metro area, 1.4 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.68).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $60.60 | $126,050 | 2% below U.S. median |
| Lower quartile | $65.98 | $137,240 | 6% above U.S. median |
| Median | $77.67 | $161,550 | 25% above U.S. median |
| Upper quartile | $83.27 | $173,200 | 34% above U.S. median |
| Top 10% | $98.19 | $204,240 | 58% above U.S. median |
How Fresno ranks
- 15th of 372 U.S. metro areas by median hourly pay
- 7th of 336 after adjusting for local prices
- 14th of 24 California metro areas
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Nurse Practitioners (SOC 29-1171), all industries. This is what employers report paying, not an offer for a specific role.
What your pay buys in Fresno
- Overall prices in Fresno run 2% above the U.S. average (index 102.2, U.S. = 100).
- Housing is the biggest driver: 4% below the U.S. average (index 95.7).
- Adjusted for local prices, a $77.67 median hour buys what $76.03 buys at the national price level, 22% above the national median.
Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.
Estimate your Fresno paycheck
Estimated weekly gross$2,796
- Per year: $139,806
- Per month: $11,650
Gross pay before taxes and benefits, from BLS pay levels for the Fresno metro area. For take-home pay use the take-home pay calculator.
Travel assignment per diem in Fresno
| Item | Federal rate |
|---|---|
| Lodging per night | $129 |
| Meals and incidentals per day | $86 |
| Per week (7 nights, 7 days) | $1,505 |
| 13-week assignment | $19,565 |
Travel nurse practitioner assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.
Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).
Hospitals in Fresno
CMS lists 5 hospitals in Fresno, 2 of the 4 rated ones with 4 or 5 stars. Hospitals are a major employer of nurse practitioners.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Fresno Va Medical Center (Va Central California Healthcare System) Fresno, CA | Acute Care - Veterans Administration | Government and federal | 5 of 5 | Yes |
| Kaiser Foundation Hospital - Fresno Fresno, CA | Acute care | Nonprofit | 4 of 5 | Yes |
| Saint Agnes Medical Center Fresno, CA | Acute care | Nonprofit | 2 of 5 | Yes |
| Community Regional Medical Center Fresno, CA | Acute care | Nonprofit | 1 of 5 | Yes |
| Fresno Surgical Hospital Fresno, CA | Acute care | For-profit | Not rated | No |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
Primary care shortage areas in Fresno County
HRSA lists 36 active primary care shortage designations that include Fresno County (3 geographic, 3 population-group, 30 facility). The highest-scoring one rates 24 on a 0 to 25 scale, where a higher score means a greater shortage.
Shortage areas are where demand for nurses, nurse practitioners, physician assistants and other clinicians is greatest. Federal loan repayment programs such as the NHSC and Nurse Corps cover some clinicians who work at eligible shortage-area sites. Eligibility is set by each program and by the site, so ask your recruiter before you plan around it.
Source: HRSA Health Professional Shortage Areas data warehouse, designated areas only. A designation can cover part of a county.
Nurse Practitioner pay in nearby cities
| City | Distance | Median pay | Population |
|---|---|---|---|
| Clovis, CA | 7 mi | $77.67/hr | 127,993 |
| Madera, CA | 21 mi | $77.67/hr | 69,094 |
| Hanford, CA | 32 mi | $76.16/hr | 60,594 |
| Visalia, CA | 41 mi | $75.36/hr | 146,271 |
| Tulare, CA | 47 mi | $75.36/hr | 72,601 |
| Merced, CA | 52 mi | $73.61/hr | 96,073 |
Nurse Practitioner jobs in California · Nurse Practitioner jobs nationwide
License and tax basics in California
California is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the California board for a license by endorsement before working here.
California taxes wage income. Use your own rates in the take-home pay calculator.
Other healthcare roles in Fresno
Fresno city guide: hospitals, employers and licensing
Common questions
How much do nurse practitioners make in Fresno, CA?
Nurse Practitioners in the Fresno metro area have a median pay of $77.67 per hour, about $161,550 a year. The middle half earn between $65.98 and $83.27 per hour (BLS, May 2024).
Is Fresno a good place for nurse practitioners once cost of living is counted?
Fresno ranks 7th of 336 metro areas for nurse practitioner pay after adjusting for local prices, and 15th of 372 before adjusting. Overall prices run 2% above the U.S. average.
Who is hiring nurse practitioners in Fresno?
We list 2 open roles with published pay from 2 employers in Fresno. Your free report adds named employers and pay near Fresno.
Do I need a California license to work in Fresno as a nurse practitioner?
California is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the California board for a license by endorsement before working here. Confirm with the board before you accept a role.
Is Fresno in a shortage area?
HRSA lists 36 active primary care shortage designations that include Fresno County. Shortage areas often have more openings, and some loan repayment programs cover clinicians who work at eligible sites.
What is the per diem for a travel assignment in Fresno?
The federal per diem benchmark in Fresno is $129 a night for lodging and $86 a day for meals and incidentals, about $1,505 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.
Does Valorem Health place nurse practitioners in Fresno?
Yes. We place healthcare staff in Fresno and across California. Tell us your profession and we email the roles open near Fresno.
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What do employers near Fresno pay nurse practitioners? Get the report.
Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.
- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
- 2What they are offering now
The pay range and median across current postings, and how many were posted this month.
- 3Roles open for you right now
Every current opening near you with pay, shift and start date. Reply with one click.
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Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your NP pay reportFresno, CA · pay published by hospitals, collected October 15, 2026
1Pay for your role at other hospitals
- Valley Children's HealthcareFresno, CA · 2 postings$103.69/ hr$85–$123
- One MedicalFresno, CA · 4 postings$62.30/ hr$59–$66
- Montage HealthMonterey, CA · 2 postings$117.72/ hr$101–$135
- MarinHealthGreenbrae, CA · 4 postings$96.91/ hr$86–$108
Median posted pay per hour, with the range each employer published.
2What they are offering now
Low$69Median$91.13High$109
45 NP postings with published pay in California, 41 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 45 NP roles
- Advanced Practice NursePermanent$154k–$225k/ year
- Advanced Practice Nurse (Nurse Practitioner)Permanent$122k–$158k/ year
+ 43 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.