PermanentPosted 3 days ago
Heart Failure - Nurse Practitioner
MultiCare · Spokane, WA
$125k–$167k/ year
New this week
Nurse Practitioner jobs in Spokane, WA
The median nurse practitioner pay in the Spokane area is $63.02 per hour ($131,080 a year), with the typical range running from $56.01 to $73.94. 1 open role with published pay is listed for Spokane. The CMS hospital directory lists 6 hospitals in Spokane. The free report below lists employers near Spokane and what they pay.
- $63.02median pay per hour, Spokane
- $56–$74typical range per hour
- 460nurse practitioners employed in the metro area
- 1open roles with published pay
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Get my free pay reportNurse Practitioner pay in Spokane, WA
The metro median is 7% below the Washington statewide median of $67.41 per hour. Nationally the median is $62.12 per hour. BLS counts about 460 nurse practitioners employed in the Spokane-Spokane Valley metro area, 1.8 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.91).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $49.04 | $102,000 | 21% below U.S. median |
| Lower quartile | $56.01 | $116,500 | 10% below U.S. median |
| Median | $63.02 | $131,080 | 1% above U.S. median |
| Upper quartile | $73.94 | $153,800 | 19% above U.S. median |
| Top 10% | $81.21 | $168,920 | 31% above U.S. median |
How Spokane ranks
- 98th of 372 U.S. metro areas by median hourly pay
- 224th of 336 after adjusting for local prices
- 7th of 8 Washington 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 Spokane
- Overall prices in Spokane-Spokane Valley run in line with the U.S. average (index 100.3, U.S. = 100).
- Housing is the biggest driver: 3% below the U.S. average (index 97.1).
- Adjusted for local prices, a $63.02 median hour buys what $62.80 buys at the national price level, 1% 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 Spokane paycheck
Estimated weekly gross$2,269
- Per year: $113,436
- Per month: $9,453
- Washington has no state income tax on wages.
Gross pay before taxes and benefits, from BLS pay levels for the Spokane-Spokane Valley metro area. For take-home pay use the take-home pay calculator.
Travel assignment per diem in Spokane
| Item | Federal rate |
|---|---|
| Lodging per night | $126 |
| Meals and incidentals per day | $86 |
| Per week (7 nights, 7 days) | $1,484 |
| 13-week assignment | $19,292 |
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 Spokane
CMS lists 6 hospitals in Spokane, 1 of the 4 rated ones with 4 or 5 stars. Hospitals are a major employer of nurse practitioners.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Spokane Va Medical Center Spokane, WA | Acute Care - Veterans Administration | Government and federal | 4 of 5 | Yes |
| Deaconess Medical Center Spokane, WA | Acute care | Nonprofit | 3 of 5 | Yes |
| Prov Sacred Hrt Med Ctr & Childs Hosp. Spokane, WA | Acute care | Nonprofit | 3 of 5 | Yes |
| Providence Holy Family Hospital Spokane, WA | Acute care | Nonprofit | 3 of 5 | Yes |
| Shriners Hospital For Children Spokane, WA | Children's | Nonprofit | Not rated | No |
| Inland Northwest Behavioral Health Spokane, WA | Psychiatric | 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 Spokane County
HRSA lists 8 active primary care shortage designations that include Spokane County (2 geographic, 1 population-group, 5 facility). The highest-scoring one rates 20 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 |
|---|---|---|---|
| Spokane Valley, WA | 9 mi | $63.02/hr | 108,267 |
| Coeur d'Alene, ID | 30 mi | $63.18/hr | 57,355 |
| Pasco, WA | 125 mi | $68.34/hr | 81,724 |
| Richland, WA | 130 mi | $68.34/hr | 64,372 |
| Kennewick, WA | 131 mi | $68.34/hr | 86,728 |
| Yakima, WA | 164 mi | $61.72/hr | 97,390 |
Nurse Practitioner jobs in Washington · Nurse Practitioner jobs nationwide
License and tax basics in Washington
Washington is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the Washington board for a license by endorsement before working here.
Washington does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.
Other healthcare roles in Spokane
Spokane city guide: hospitals, employers and licensing
Common questions
How much do nurse practitioners make in Spokane, WA?
Nurse Practitioners in the Spokane-Spokane Valley metro area have a median pay of $63.02 per hour, about $131,080 a year. The middle half earn between $56.01 and $73.94 per hour (BLS, May 2024).
Is Spokane a good place for nurse practitioners once cost of living is counted?
Spokane-Spokane Valley ranks 224th of 336 metro areas for nurse practitioner pay after adjusting for local prices, and 98th of 372 before adjusting. Overall prices run in line with the U.S. average.
Who is hiring nurse practitioners in Spokane?
We list 1 open role with published pay from 1 employer in Spokane. Your free report adds named employers and pay near Spokane.
Do I need a Washington license to work in Spokane as a nurse practitioner?
Washington is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the Washington board for a license by endorsement before working here. Confirm with the board before you accept a role.
Is Spokane in a shortage area?
HRSA lists 8 active primary care shortage designations that include Spokane 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 Spokane?
The federal per diem benchmark in Spokane is $126 a night for lodging and $86 a day for meals and incidentals, about $1,484 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.
Does Valorem Health place nurse practitioners in Spokane?
Yes. We place healthcare staff in Spokane and across Washington. Tell us your profession and we email the roles open near Spokane.
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What do employers near Spokane 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
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85+ Nurse Practitioner roles in Washington, sent free by email
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Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your NP pay reportSpokane, WA · pay published by hospitals, collected October 15, 2026
1Pay for your role at other hospitals
- Confluence HealthWenatchee, WA · 2 postings$73.20/ hr$66–$80
- Military Treatment Facilities under DHATacoma, WA · 3 postings$71.45/ hr$63–$80
- MultiCareTacoma, WA · 5 postings$70.15/ hr$60–$105
Median posted pay per hour, with the range each employer published.
2What they are offering now
Low$60Median$71.45High$80
13 NP postings with published pay in Washington, 10 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 13 NP roles
- Virtual Nurse Practitioner - WA CO or CA LicensedPermanent$59.10–$65.50/ hour
- General Cardiology - Nurse PractitionerPermanent$125k–$167k/ year
+ 11 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.