Endocrinology nurse practitioners earn a national average of approximately $110,000–$145,000 per year, with geography and work setting driving most of the variation. The ZipRecruiter national average for endocrinology NPs as of early 2026 is $130,295, with a 25th–75th percentile range of $108,000–$150,000 and top earners (90th percentile) reaching $180,000 annually. The BLS all-NP median for May 2025 was $132,300 (SOC 29-1171); endocrinology NPs sit modestly below that baseline, pulled down by the specialty’s predominantly outpatient-only nature – shift differentials, on-call pay, and hospital-based premiums rarely apply in endocrinology NP roles.
What most salary guides miss: the CDCES credential (Certified Diabetes Care and Education Specialist) creates a measurable salary premium in diabetes-focused endocrinology NP roles, and telehealth endocrinology offers compensation comparable to in-person clinic work with significantly less scheduling burden. Those two levers – credential and setting – matter more to long-term earnings trajectory than years of experience alone.
Quick-scan salary overview
| Experience level | Estimated annual salary |
|---|---|
| Entry-level (0–2 years) | $95,000–$115,000 |
| Early career (2–5 years) | $110,000–$130,000 |
| Mid-career (5–10 years) | $125,000–$145,000 |
| Senior (10+ years) | $140,000–$165,000 |
| CDCES-credentialed / academic NP | $145,000–$185,000 |
For the full career pathway, certifications, and fellowship programs, see the companion how to become an endocrinology nurse practitioner guide.
National salary overview
| Metric | Value | Source / notes |
|---|---|---|
| BLS all-NP median (May 2025) | $132,300 | SOC 29-1171; all NP specialties combined |
| Endocrinology NP national average | $130,295 | ZipRecruiter average, early 2026 |
| Endocrinology NP 25th–75th percentile | $108,000–$150,000 | ZipRecruiter percentile data, 2026 |
| Top earners (90th percentile) | $180,000+ | Academic medical centers, CDCES-credentialed, high-cost-of-living markets |
| BLS all-NP 10th percentile (May 2025) | $101,340 | SOC 29-1171; lower end reflects entry-level/lower-cost-of-living markets |
| BLS all-NP 90th percentile (May 2025) | $174,420 | SOC 29-1171; reflects top-earning NP roles nationally |
| Specialty position vs general NP median | Approximately 0–2% below | Outpatient-only setting limits premium; hospital-based consult roles run 8–20% above the national NP median |
The endocrinology NP salary position relative to the broader NP market reflects the specialty’s structural characteristics. Endocrinology is overwhelmingly outpatient – most NPs in the field work Monday to Friday in clinic or telehealth settings, with no nights, no weekends, and no on-call obligations. That schedule is a significant quality-of-life benefit, but it removes the compensation elements that push other NP specialties above the general median: shift differentials, on-call premiums, and hospital-system evening and weekend pay. NPs who enter hospital-based endocrinology consult service roles (ACNP-certified) do earn meaningfully more, typically $140,000–$160,000, and may receive shift premiums on top of that.
Methodology note: The BLS does not publish endocrinology-specific NP salary data. Figures in this guide draw from BLS OEWS national and state-level data (May 2025 release), disclosed salary ranges in job postings, and aggregator data from ZipRecruiter and Salary.com for endocrinology NP-classified roles. Where a figure is a BLS measurement it is labeled as such; setting, experience, and endocrinology-specific state ranges are editorial estimates built on that baseline. Individual offers vary by employer, location, credential, and experience.
Salary by work setting
Setting is the strongest driver of endocrinology NP compensation – more so than years of experience at early- and mid-career stages. Hospital-based consult service roles pay the most; solo private practices and federally qualified health centers pay the least within the specialty.
| Setting | Typical annual salary | Salary range | Compensation model | Notes |
|---|---|---|---|---|
| Hospital-based endocrine consult service | $140,000–$160,000 | $125,000–$185,000 | Salary + shift differential; academic centers may include RVU | ACNP-BC required; highest-paid endocrinology NP setting; manages DKA, adrenal crisis, perioperative glucose; inpatient model |
| Academic medical center outpatient clinic | $130,000–$150,000 | $120,000–$175,000 | Salary; RVU productivity bonus at larger centers | Higher clinical complexity; access to rare endocrine cases; research and teaching support; CDCES training often supported by employer |
| Private endocrinology group practice | $120,000–$140,000 | $108,000–$155,000 | Salary; productivity bonus in high-volume groups | Most common endocrinology NP setting; M–F schedule; panel of established patients; compensation tied to patient volume in some groups |
| Diabetes center / dedicated diabetes clinic | $118,000–$138,000 | $105,000–$155,000 | Salary; CDCES premium applies in many contracts | Heavy CGM and insulin pump management; CDCES credential expected or required; high patient education component; DSMES billing opportunity |
| Integrated health system (VA, Kaiser) | $120,000–$145,000 | $112,000–$160,000 | Salary; federal/state step system; structured benefits | VA is a major employer of endocrinology NPs; predictable schedule and compensation; strong benefits package; defined panel sizes |
| Telehealth endocrinology | $115,000–$140,000 | $105,000–$150,000 | Salary or per-visit; some platforms offer panel-based base | No on-call; geographic flexibility; manages diabetes, hypothyroidism, metabolic syndrome; requires full-practice authority state license for independent practice |
| Hospital outpatient endocrinology department | $115,000–$135,000 | $105,000–$148,000 | Salary; hospital system benefits | Hospital-affiliated outpatient clinic; moderate complexity; access to hospital-system benefits and continuing education; M–F schedule |
| Federally qualified health center (FQHC) | $105,000–$125,000 | $95,000–$138,000 | Salary; NHSC loan repayment eligible | Lowest base compensation in the specialty; substantially offset by NHSC loan forgiveness ($50,000+ over 2 years in high-need sites); serves underserved populations with high diabetes burden |
Salary by state
State-level NP wage data below comes from the BLS OEWS May 2025 release (SOC 29-1171, all-NP median) via the O*NET mirror, and every figure in the first column is a published state median rather than an estimate. Endocrinology NP salaries at the state level track the general NP median, adjusted downward in lower-cost-of-living states and upward where NP demand outpaces supply.
A note on the second column: the endocrinology range shown is an editorial estimate, not a BLS series. BLS does not publish endocrinology-specific NP wages at state level, so these bands are anchored to the state median and widened to reflect the setting mix described earlier in this guide. Treat the first column as measured data and the second as an informed estimate.
| State | BLS NP median (May 2025) | Estimated endocrinology NP range | Notes |
|---|---|---|---|
| California | $168,520 | $145,000–$180,000 | Highest-paying state for NPs nationally; high cost of living; AANP classes California as a restricted-practice state – AB 890 created a phased "103/104 NP" pathway to independent practice rather than full practice authority |
| New Jersey | $159,310 | $138,000–$170,000 | Second-highest BLS NP median nationally; dense healthcare market; proximity to NYC academic centers |
| Washington | $156,100 | $135,000–$167,000 | Full-practice authority; Seattle metro academic and integrated-system employers |
| Oregon | $155,680 | $134,000–$166,000 | Full-practice authority; competitive NP market in Portland and Eugene metros |
| Alaska | $155,170 | $134,000–$166,000 | High pay driven by rural premium and cost of living; endocrinologist shortage creates strong NP demand |
| New York | $153,510 | $133,000–$164,000 | Full-practice authority; the collaborative-relationship waiver for NPs with 3,600+ hours carried a July 1, 2026 sunset that lapsed without renewal – confirm current requirements with NYSED; academic medical center premium applies in the NYC metro |
| Massachusetts | $142,440 | $124,000–$152,000 | Strong academic medical center presence (MGH, Brigham, BIDMC); Boston market premium |
| Nevada | $140,670 | $122,000–$150,000 | Full-practice authority; Las Vegas metro driving demand growth; high diabetes burden in Nevada population |
| Connecticut | $138,470 | $120,000–$148,000 | High cost of living; proximity to NYC and Boston academic centers |
| Arizona | $134,420 | $117,000–$144,000 | Full-practice authority; growing market; high diabetes burden in southwestern population |
| Minnesota | $133,260 | $116,000–$143,000 | Mayo Clinic and large integrated health systems are primary employers; structured compensation |
| Colorado | $132,930 | $115,000–$142,000 | Full-practice authority; growing endocrinology NP market in Denver and Front Range metros |
| Wisconsin | $131,980 | $115,000–$141,000 | UW Health and Froedtert academic systems; mid-market compensation |
| Texas | $131,670 | $114,000–$141,000 | Large state with wide internal variation; no state income tax lifts take-home relative to gross; restricted-practice authority |
| Michigan | $131,450 | $114,000–$141,000 | University of Michigan, Henry Ford Health are key academic employers |
| Maryland | $131,110 | $114,000–$140,000 | Johns Hopkins and UMMS academic programs; Baltimore-DC corridor premium |
| Illinois | $130,680 | $114,000–$140,000 | Chicago-area academic medical centers offer top-of-range endocrinology NP salaries |
| Pennsylvania | $130,140 | $113,000–$139,000 | Reduced-practice authority state; Pittsburgh and Philadelphia academic centers offer competitive salaries |
| Missouri | $129,930 | $113,000–$139,000 | Washington University and Barnes-Jewish academic center; mid-range market |
| Florida | $129,510 | $113,000–$139,000 | Restricted-practice authority; high supply of NPs relative to demand in metro markets |
| Georgia | $129,430 | $113,000–$138,000 | Emory University Health System; high diabetes burden; restricted-practice authority |
| North Carolina | $128,990 | $112,000–$138,000 | Duke and UNC health systems are primary endocrinology NP employers |
| Indiana | $128,830 | $112,000–$138,000 | IU Health system employer; lower-cost-of-living market |
| Virginia | $127,810 | $111,000–$137,000 | VA system is a significant endocrinology NP employer in Virginia; restricted-practice authority state |
| Louisiana | $125,600 | $109,000–$134,000 | High diabetes prevalence; Tulane and LSU academic centers; lower compensation market |
| Ohio | $124,870 | $109,000–$134,000 | Cleveland Clinic and Ohio State academic endocrinology programs employ NPs; mid-range state market |
| Mississippi | $124,730 | $108,000–$133,000 | Highest diabetes prevalence in the US creates NP demand; compensation lags the national median |
| Tennessee | $117,590 | $102,000–$126,000 | Vanderbilt academic endocrinology program; lower-cost-of-living market offset by lower base salaries; restricted-practice authority |
| Alabama | $105,750 | $92,000–$113,000 | Lowest state NP median in this table; rural endocrinologist shortage creates NP opportunity despite lower base |
Salary percentile breakdown
ZipRecruiter percentile data for endocrinology NP roles as of early 2026, alongside BLS all-NP data from the May 2025 OEWS release:
| Percentile | Annual salary (endocrinology NP) | Comparison: BLS all-NP (May 2025) |
|---|---|---|
| 10th percentile | ~$85,000 | $101,340 |
| 25th percentile | $108,000 | $117,990 |
| 50th percentile (median) | $128,000–$130,000 | $132,300 |
| 75th percentile | $150,000 | $156,700 |
| 90th percentile | $180,000+ | $174,420 |
The two distributions have a similar shape, though the aggregator figures sit below the BLS series at every percentile except the top. Two things drive that gap. Aggregator data reflects posted base salaries, which exclude the differentials and bonuses OEWS captures in gross wages, and endocrinology’s outpatient concentration removes the shift-premium roles that lift the BLS lower and middle percentiles. The convergence at the 90th percentile reflects academic and hospital-based endocrinology roles that do compete with the top of the general NP market.
Salary growth levers
Several specific factors allow endocrinology NPs to move their compensation above the general specialty range:
CDCES credential: The Certified Diabetes Care and Education Specialist credential is the single highest-impact add-on for endocrinology NPs whose practice centers on diabetes. NPs with CDCES consistently report salary advantages of $5,000–$10,000 annually in diabetes-focused roles. More significantly, CDCES enables billing for Diabetes Self-Management Education and Support (DSMES) services under Medicare – a billable service category that generates revenue independent of the medical visit and can be structured as group education sessions with high efficiency. Practices and health systems in which the NP can directly generate DSMES revenue tend to compensate the CDCES-credentialed NP at a premium.
Hospital-based inpatient role (ACNP): The highest-compensated endocrinology NP positions are in hospital-based consult service roles requiring ACNP-BC certification. Inpatient endocrinology NPs managing DKA, perioperative glucose protocols, and adrenal crisis consults at academic medical centers earn $140,000–$165,000, with shift differentials and weekend premiums on top of that base in some institutions.
Telehealth panel expansion: Telehealth endocrinology allows NPs to carry larger effective patient panels than in-person practice and, in platforms with per-visit or panel-based compensation, to increase earnings through volume. The elimination of on-call burden and geographic constraints makes telehealth attractive for experienced NPs who hold licenses in full-practice authority states. Some NPs maintain a hybrid in-person/telehealth practice model that captures both continuity of care and scheduling flexibility.
Academic affiliation: NPs affiliated with academic medical centers or teaching hospitals access RVU productivity bonuses, grant participation (in research-active endocrinology divisions), and academic title progression that modestly but meaningfully increase total compensation over time. Academic roles also provide CME funding and protected time for CDCES exam preparation or fellowship completion.
Geographic arbitrage: Moving from lower-paying markets (Southeast, Midwest) to higher-paying ones (California, New Jersey, Washington, Oregon, New York) can increase base salary by $25,000–$60,000 for the same role – the gap between Alabama’s NP median and California’s is more than $62,000 on May 2025 BLS data. For NPs in full-practice authority states with telehealth-enabled practices, this is achievable without physical relocation.
Full-practice authority and panel independence: In the full-practice authority states – AANP counted 27 states plus the District of Columbia in its 2026 state practice environment map, with California classed as restricted despite its AB 890 transition pathway – endocrinology NPs who establish independent practices or contract directly with telehealth platforms capture the full billing rate for their services rather than billing under a collaborating physician. For high-volume diabetes NPs, this can generate $160,000–$190,000+ in collections-based compensation.
Specialty comparison
How endocrinology NP salary compares to other NP specialties, using aggregated data from ZipRecruiter and BLS state-level figures:
| Specialty | Typical salary range | National average (approx.) | Primary premium driver |
|---|---|---|---|
| CRNA (certified registered nurse anesthetist) | $207,000–$294,000 | ~$236,600 | Procedural; intraoperative; call obligations |
| Cardiology NP | $130,000–$175,000 | ~$145,000 | Procedural support (cath lab); inpatient cardiology; on-call |
| Oncology NP | $125,000–$170,000 | ~$140,000 | Academic medical center; chemotherapy management; infusion setting |
| Dermatology NP | $100,000–$180,000 | ~$120,000–$145,000 | Cosmetic dermatology; Mohs surgical support; procedure volume |
| Nephrology NP | $115,000–$165,000 | ~$130,000 | Transplant center; dialysis panel management |
| Endocrinology NP | $108,000–$180,000 | ~$130,000 | CDCES credential; hospital-based inpatient role; telehealth panel |
| Gastroenterology NP | $110,000–$160,000 | ~$128,000 | Procedural support (endoscopy); inpatient GI |
| Primary care NP (FNP) | $100,000–$155,000 | ~$125,000 | Geography; panel size; FQHC loan repayment |
Endocrinology NP sits near the middle of the NP specialty compensation range, with cardiology and oncology NPs consistently earning more by median salary. The trade-off runs the other way on schedule: endocrinology roles are overwhelmingly outpatient, with minimal night, weekend, or emergency call obligations. For NPs who weight predictable hours heavily, the difference against higher-earning procedural or acute care specialties is frequently described as acceptable.
Experience and salary progression
| Career stage | Experience | Typical salary range | Key milestones |
|---|---|---|---|
| New graduate | 0–1 year NP experience | $95,000–$112,000 | Board certification; first endocrinology NP role; beginning CDCES hour accumulation |
| Early career | 1–3 years | $110,000–$128,000 | Building endocrinology patient panel; CGM and insulin pump proficiency; CDCES eligibility approaching |
| Mid-career | 3–7 years | $122,000–$142,000 | CDCES obtained; senior NP role or lead NP designation; possible shift to academic or telehealth setting for premium |
| Senior | 7–15 years | $135,000–$158,000 | CDCES maintained; possible advanced practice faculty appointment; independent practice or group leadership |
| Lead / independent practice | 10+ years | $145,000–$185,000+ | Practice ownership (full-practice authority states); independent telehealth endocrinology; department leadership |
Job outlook
The structural demand for endocrinology NPs is among the strongest in advanced practice nursing. Three factors underpin this:
Diabetes burden: 38.4 million Americans of all ages have diabetes, of whom 29.7 million are diagnosed and 8.7 million are not. A further 97.6 million adults – more than one in three – meet prediabetes criteria (CDC National Diabetes Statistics Report, 2021 data). The scale of the metabolic disease epidemic exceeds the capacity of the endocrinologist workforce to manage.
Endocrinologist shortage: Nearly 70% of US counties have no practicing endocrinologist, according to a December 2024 GoodRx Research analysis of provider distribution. The training pipeline is not closing that gap: adult endocrinology fellowship positions grew from 223 in 2009 to 326 in 2019 while applications stayed flat, leaving roughly 11 applicants for every 10 spots. NPs are increasingly the primary specialist provider for many patients in underserved markets, and the autonomy and compensation that accompanies that responsibility continues to grow.
NP scope expansion: The BLS Employment Projections program puts nurse practitioner employment growth at 40.1% from 2024 to 2034, the fastest of any healthcare occupation and third-fastest in the economy, adding roughly 267,700 jobs. (The Occupational Outlook Handbook quotes 35% and about 32,700 annual openings for the broader combined category of nurse anesthetists, nurse midwives, and nurse practitioners – a different, wider grouping than the NP-specific figure.) As full-practice authority states expand and telehealth regulation stabilizes, endocrinology NPs gain greater independence in panel management, prescribing, and practice ownership, which converts directly into higher compensation ceilings.
FAQ
What is the average endocrinology NP salary? The national average endocrinology NP salary is approximately $130,295 per year as of early 2026 (ZipRecruiter), slightly below the BLS all-NP median of $132,300 (May 2025). The full range is $95,000–$185,000+, with geography, work setting, and credentials driving most of the variation.
Do endocrinology NPs earn less than other NP specialties? Endocrinology NPs earn near the national NP median, which places them below cardiology, oncology, and CRNA compensation but in a comparable range to nephrology, gastroenterology, and primary care NPs. The trade-off is schedule: endocrinology is predominantly outpatient Monday-to-Friday with no nights, no weekends, and minimal emergency calls. NPs who prioritize that work-life structure commonly find the compensation appropriate for the lifestyle it enables.
Does the CDCES credential increase endocrinology NP salary? Yes. CDCES-credentialed endocrinology NPs report salary advantages of $5,000–$10,000 annually in diabetes-focused roles, and the credential enables DSMES billing under Medicare, which directly increases practice revenue and is reflected in compensation packages at diabetes centers and health systems that value that billing capability.
What is the highest-paying endocrinology NP setting? Hospital-based inpatient endocrine consult service roles, available to ACNP-BC certified NPs, pay the most within the specialty – typically $140,000–$165,000 with shift differentials at academic medical centers. Academic outpatient clinic roles with RVU productivity bonuses and CDCES credentials also reach the top of the endocrinology NP pay range.
References
- U.S. Bureau of Labor Statistics, “Nurse Practitioners,” Occupational Employment and Wage Statistics, SOC 29-1171, May 2025 (released 2026). National median and percentile figures.
- U.S. Bureau of Labor Statistics, “May 2025 State Occupational Employment and Wage Estimates,” SOC 29-1171, 2026, accessed via the O*NET OnLine state wage mirror (onetonline.org/link/localwages/29-1171.00).
- ZipRecruiter, “Endocrinology Nurse Practitioner Salary,” 2026.
- Salary.com, “Endocrinology Nurse Practitioner Salary,” 2026.
- Certification Board for Diabetes Care and Education (CBDCE), “Certified Diabetes Care and Education Specialist (CDCES) Handbook,” 2025.
- Centers for Disease Control and Prevention (CDC), “National Diabetes Statistics Report,” 2024.
- American Association of Nurse Practitioners (AANP), “State Practice Environment,” 2025.
- U.S. Bureau of Labor Statistics, Employment Projections program, “Occupational Projections, 2024–2034,” nurse practitioners (SOC 29-1171), 2026. Note that the Occupational Outlook Handbook publishes a separate 35% figure for the broader combined category of nurse anesthetists, nurse midwives, and nurse practitioners.
- American Association of Nurse Practitioners (AANP), “2026 Nurse Practitioner State Practice Environment,” State Government Affairs, May 2026.
- GoodRx Research, “Endocrinologist Deserts: A Critical Healthcare Gap for Millions,” December 2024.
- Romeo GR, et al., “Trends in the Endocrinology Fellowship Recruitment: Reasons for Concern and Possible Interventions,” The Journal of Clinical Endocrinology & Metabolism, Vol. 105 No. 6, 2020, pp. 1701–1706.
See also: how to become a nurse practitioner for the full NP pathway, cardiology NP salary and nephrology NP salary for adjacent specialty comparisons, and how to become an endocrinology NP for the full career pathway guide.