Nurse Practitioner Salary in Winston, NC
Nurse Practitioners in the Winston-Salem, NC metro area earn a median $130,840 a year — 1% less than the national median. After 2026 taxes, that is $95,983 take-home, or $7,999 a month.
Take-home pay calculator
Pre-filled with the median nurse practitioner salary in Winston, NC. Enter your own offer to see your paycheck.
- Federal income tax$20,136
- Social Security (6.2%)$8,112
- Medicare (1.45%)$1,897
- North Carolina income tax$4,712
- Take-home pay$95,983
Marginal rate: 24% federal + 3.99% state
Nurse Practitioner pay by experience in Winston, NC
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $105,120 | $50.54 | $79,096 | $6,591 |
| 25th percentile | $117,010 | $56.25 | $86,987 | $7,249 |
| Median (50th) | $130,840 | $62.90 | $95,983 | $7,999 |
| 75th percentile | $160,200 | $77.02 | $114,879 | $9,573 |
| 90th percentile (top earners) | $161,520 | $77.65 | $115,729 | $9,644 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, North Carolina resident, 2026 tax rules.
What $130,840 buys in Winston, NC
Prices in Winston, NC are 8.0% lower than the U.S. average (housing costs are 29% below the national average). Adjusted for local prices, a median nurse practitioner's $95,983 take-home pay has the buying power of $104,281 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Winston, NC has 1.3× the national concentration of nurse practitioner jobs — a strong local market for this occupation.
Best-paying cities for nurse practitioners, adjusted for cost of living
Winston, NC ranks #27 of 117 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | San Jose, CA | $231,560 | $150,760 | $136,530 |
| 2 | San Francisco, CA | $219,080 | $143,890 | $124,458 |
| 3 | Killeen, TX | $138,670 | $106,047 | $116,366 |
| 4 | Tulsa, OK | $139,460 | $100,857 | $113,050 |
| 5 | Sioux Falls, SD | $130,390 | $100,388 | $110,765 |
| 6 | McAllen, TX | $122,550 | $95,029 | $110,634 |
| 7 | Las Vegas, NV | $144,060 | $109,731 | $109,496 |
| 8 | Fresno, CA | $166,570 | $111,690 | $109,330 |
| 27 | Winston, NC | $130,840 | $95,983 | $104,281 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 117 metros →
Nurse Practitioner salaries elsewhere in North Carolina
- Greensboro, NC — $132,230
- Durham, NC — $132,300
- Charlotte, NC — $130,310
- Asheville, NC — $127,770
- Raleigh, NC — $128,150
Frequently asked questions
How much does a nurse practitioner make in Winston, NC?
The median nurse practitioner salary in the Winston-Salem, NC metro area is $130,840 a year, or about $62.90 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $117,010 and $160,200.
What is a nurse practitioner’s take-home pay in Winston, NC?
On the median $130,840 salary, a single filer living in North Carolina takes home about $95,983 a year ($7,999 a month) after federal tax, Social Security, Medicare and $4,712 in North Carolina taxes in 2026.
Is Winston, NC a good place to work as a nurse practitioner?
Pay here is 1% below the national median of $132,300. Local prices are 8.0% below the U.S. average, so the take-home pay buys what $104,281 would in a typical U.S. city. Winston, NC ranks #27 of 117 metro areas for cost-of-living-adjusted pay in this job.
Can a nurse practitioner afford rent in Winston, NC?
HUD’s fair market rent for a one-bedroom in Winston, NC is $1,031 a month ($1,164 for two bedrooms) — 13% of a median nurse practitioner’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in Winston, NC
- Nurse Anesthetist — $216,140
- Pharmacist — $135,710
- Physician Assistant — $130,730
- Physical Therapist — $101,270
- Dental Hygienist — $95,930
- Registered Nurse — $86,120
- Respiratory Therapist — $80,250
- Radiologic Technologist and Technician — $77,900
- Physicians, All Other — $74,700
- Licensed Practical and Licensed Vocational Nurse — $62,970
- Clinical Laboratory Technologist and Technician — $62,960
- Medical Records Specialist — $62,590