NC · Winston-Salem · Updated October 15, 2026

Nurse Practitioner jobs in Winston-Salem, NC

The median nurse practitioner pay in the Winston-Salem area is $63.84 per hour ($132,790 a year), with the typical range running from $57.52 to $69.27. 3 open roles with published pay are listed for Winston-Salem. The CMS hospital directory lists 4 hospitals in Winston-Salem. Tell us your role and we email current openings near Winston-Salem.

Open Nurse Practitioner roles in Winston-Salem

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Nurse Practitioner pay in Winston-Salem, NC

The metro median is 6% above the North Carolina statewide median of $60.11 per hour. Nationally the median is $62.12 per hour. BLS counts about 680 nurse practitioners employed in the Winston-Salem metro area, 2.5 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.25).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$50.00$104,00020% below U.S. median
Lower quartile$57.52$119,6407% below U.S. median
Median$63.84$132,7903% above U.S. median
Upper quartile$69.27$144,08012% above U.S. median
Top 10%$78.99$164,30027% above U.S. median

How Winston-Salem ranks

  • 79th of 372 U.S. metro areas by median hourly pay
  • 51st of 336 after adjusting for local prices
  • 1st of 13 North Carolina 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 Winston-Salem

  • Overall prices in Winston-Salem run 8% below the U.S. average (index 92.0, U.S. = 100).
  • Housing is the biggest driver: 29% below the U.S. average (index 71.4).
  • Adjusted for local prices, a $63.84 median hour buys what $69.36 buys at the national price level, 12% 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 Winston-Salem paycheck

Estimated weekly gross$2,298
  • Per year: $114,912
  • Per month: $9,576

Gross pay before taxes and benefits, from BLS pay levels for the Winston-Salem metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in Winston-Salem

ItemFederal rate
Lodging per night$110
Meals and incidentals per day$68
Per week (7 nights, 7 days)$1,246
13-week assignment$16,198

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 (this is the standard rate that applies here). 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 Winston-Salem

CMS lists 4 hospitals in Winston-Salem, 3 of the 3 rated ones with 4 or 5 stars. Hospitals are a major employer of nurse practitioners.

HospitalTypeOwnershipCMS ratingEmergency
Novant Health Medical Park Hospital
Winston-Salem, NC
Acute careNonprofit5 of 5No
North Carolina Baptist Hospital
Winston-Salem, NC
Acute careNonprofit4 of 5Yes
Novant Health Forsyth Medical Center
Winston-Salem, NC
Acute careNonprofit4 of 5Yes
Old Vineyard Youth Services
Winston Salem, NC
PsychiatricFor-profitNot ratedNo

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Primary care shortage areas in Forsyth County

HRSA lists 2 active primary care shortage designations that include Forsyth County (1 population-group, 1 facility). The highest-scoring one rates 21 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

CityDistanceMedian payPopulation
High Point, NC17 mi$59.43/hr118,601
Greensboro, NC24 mi$59.43/hr307,381
Burlington, NC44 mi$62.93/hr61,365
Mooresville, NC48 mi$62.81/hr52,884
Kannapolis, NC48 mi$62.81/hr60,521
Concord, NC53 mi$62.81/hr112,395

Nurse Practitioner jobs in North Carolina · Nurse Practitioner jobs nationwide

License and tax basics in North Carolina

North Carolina is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a North Carolina license by endorsement.

North Carolina taxes wage income. Use your own rates in the take-home pay calculator.

North Carolina state guide · Nurse Licensure Compact guide

Other healthcare roles in Winston-Salem

Winston-Salem city guide: hospitals, employers and licensing

Common questions

How much do nurse practitioners make in Winston-Salem, NC?

Nurse Practitioners in the Winston-Salem metro area have a median pay of $63.84 per hour, about $132,790 a year. The middle half earn between $57.52 and $69.27 per hour (BLS, May 2024).

Is Winston-Salem a good place for nurse practitioners once cost of living is counted?

Winston-Salem ranks 51st of 336 metro areas for nurse practitioner pay after adjusting for local prices, and 79th of 372 before adjusting. Overall prices run 8% below the U.S. average.

Who is hiring nurse practitioners in Winston-Salem?

We list 3 open roles with published pay from 1 employer in Winston-Salem. Your free report adds named employers and pay near Winston-Salem.

Do I need a North Carolina license to work in Winston-Salem as a nurse practitioner?

North Carolina is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a North Carolina license by endorsement. Confirm with the board before you accept a role.

Is Winston-Salem in a shortage area?

HRSA lists 2 active primary care shortage designations that include Forsyth 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 Winston-Salem?

The federal per diem benchmark in Winston-Salem is $110 a night for lodging and $68 a day for meals and incidentals, about $1,246 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place nurse practitioners in Winston-Salem?

Yes. We place healthcare staff in Winston-Salem and across North Carolina. Tell us your profession and we email the roles open near Winston-Salem.

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Pay report · NP near Winston-Salem, NC
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your NP pay reportWinston-Salem, NC · pay published by employers and employer-reported wage offers in federal filings

1Pay for your role at other employers

  • Advocate HealthCharlotte, NC · 46 postings$63.82/ hr$48–$95
  • Genesis HealthcareMount Olive, NC · 3 postings$57.19/ hr$50–$61
  • Eden Internal Medicine PLLCEden, NC · 1 wage offer$53.81/ hr$54–$54

Median pay per hour, with the range each employer published or reported in federal filings.

2What they are offering now

Low$51Median$63.82High$88

51 NP postings with published pay in North Carolina, 50 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 51 NP roles

  1. Advanced Practice Nurse (NP) PodiatryPermanent
    $136k–$197k/ year
    Veterans Health Administration · Salisbury, NC · posted today
  2. Behavioral Health Full-Time NP/PAPermanent
    $59.00–$88.50/ hour
    Advocate Health · North Carolina · posted today

+ 49 more in your report. Each one has pay, shift and start date.

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