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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information
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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information





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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Practicing advanced practice registered nurses (APRNs) in the United States
participated in an online survey about annual earnings as part of a larger
survey that included registered nurses (RNs) and licensed practical nurses
(LPNs). After a recruitment period lasting from May 17 through August 2, 2021, a
total of 3039 APRNs met the screening criteria and completed the survey. This
group includes 380 certified registered nurse anesthetists (CRNAs), 2016 nurse
practitioners (NPs), 505 clinical nurse specialists (CNSs), and 408 nurse
midwives (NMs).

This report summarizes survey findings from those APRNs. Where applicable, we
compare findings from the current year with those of last year's compensation
survey. A separate report describes the survey findings from RNs and LPNs.

(Note: Although this survey was conducted in 2021, respondents were asked to
report earnings from 2020. Except where noted, annual gross income figures are
averages, based on reported wages of full-time APRNs.)

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Among total APRNs who are not currently employed and therefore did not qualify
for the survey, 24% cited COVID-19 as the reason they were not working; 20%
retired earlier than planned, 1% were furloughed, and 3% were laid off or fired.

4 of 24




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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




The primary work setting of APRNs differs by type of APRN. For example, the most
frequent work setting for CRNAs, CNSs, and NMs is the acute care hospital. In
contrast, NPs are most often found in either hospital-based or
non–hospital-based outpatient settings or clinics.

5 of 24




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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Compensation for all full-time APRNs increased in 2020 over the previous year,
except for NMs, whose annual gross incomes were on average unchanged. CRNAs
still earned significantly higher wages in 2020 than other APRN groups.
Financially, becoming an APRN is a good move. Overall, the annual incomes
reported by full-time APRNs were higher than the average earnings ($83,000) of
full-time RNs.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




The largest group of APRNs in our survey are NPs, and based on 2020 earnings,
the highest annual incomes were reported by NPs who worked in acute care
hospital settings, followed by hospital-based outpatient settings or clinics.

7 of 24




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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Advanced practice certification is a requirement for NP practice in the United
States. A majority (63%) are certified as family NPs, and another 11% are
adult-gerontology primary care NPs. When it comes to income, however, the most
well-paid in this survey were the psychiatric/mental health NPs. Family NPs
showed an increase in compensation from 2019.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Most APRNs work full time (at least 36 hours weekly). Among APRNs, CRNAs were
the most likely to work full time (85%) and CNSs the least (73%). In years past,
we have reported hourly rates of pay for APRNs who worked both full-time and
part-time positions. This year, however, we had sufficient data to report the
hourly rate of pay only for NPs, which was $63 in 2020 for both part-time and
full-time employees.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Differences in annual earnings varied according to the type of APRN employment.
Those employed by private NP practices generate less income than those employed
by a medical group or hospital or those who are self-employed/independent
contractors. Overall, annual income increased among APRNs employed by a medical
group or hospital compared with last year.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Relatively few APRNs own their own practices. CRNAs were most likely among all
APRNs to do so. Overall compensation for APRNs who own their own practices in
2020 was $158,000 compared with $140,000 in 2019.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Whether APRNs practice independently or under a collaborative practice
arrangement with a physician varies with type of ARPN. A majority of APRNs
report practicing independently. CNSs were most likely to report having a formal
collaborative practice agreement with a physician.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




The minimum entry-level educational requirement for APRNs in the United States
is the master's degree. In this year's survey, 81% of all APRNs held a master's
degree and 17% held a doctorate (PhD or DNS).

On average, among NPs, those with a doctorate make about 5% more than those with
a masters.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Among survey respondents, men represented about 37% of CRNAs and substantially
smaller proportions of NPs (9%), CNSs (7%), and NMs (1%).

Male CRNAs and NPs (the only groups with enough respondents for analysis) earned
significantly more than females with the same roles. The annual gross income of
male CRNAs and NPs exceeds that of their female counterparts by about 11%-12%.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




We don't know why men in nursing, even those in advanced practice roles, earn
more than women, but our survey provides some potential clues. Men were more
likely than women to work in higher-wage settings, such as inpatient or
outpatient acute care hospital settings. Men are also more likely to earn
supplemental income and to own their own practices, findings that were similar
to last year's report.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




The annual earnings of all APRNs increase with more years of practice. However,
as we've seen in past surveys, these increases appear to level off at about 20
or more years of practice. This might represent a salary cap. APRNs who have
been in practice 21 years or longer reported earning significantly more
($129,000) than they did the previous year ($124,000).

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Once again, we saw a distinct pattern in regional earnings for APRNs. Those
employed in the Pacific region of the United States (California, Oregon,
Washington, Alaska, and Hawaii) reported the highest incomes, whereas APRNs in
the East South Central region (Tennessee, Kentucky, Mississippi, and Alabama)
reported the lowest. Of note, compared with mean annual earnings, the median
earnings were substantially lower and might more closely reflect actual earnings
by APRNs in these regions:

 * New England: $122K
 * Mid-Atlantic: $118K
 * South Atlantic: $110K
 * East North Central: $111K
 * West North Central: $113K
 * East South Central: $104K
 * West South Central: $120K
 * Mountain: $118K
 * Pacific: $140K

(Note: These incomes are not adjusted for cost of living.)

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




The earnings of NPs, the largest group of APRNs, followed the same pattern as
the overall APRN regional earnings. NPs in the Pacific region earned the most,
and those in the East South Central and South Atlantic regions earned the least.
NPs in both the highest- and lowest-paying regions experienced significant
increases in compensation compared with last year. Incomes for NPs in the
Pacific region increased from $128,000 to $136,000 and incomes in the East South
Central region increased from $98,000 to $105,000. The median annual earnings
were lower than the averages for these regions:

 * Mid-Atlantic: $117K
 * South Atlantic: 106K
 * East North Central: $107K
 * West North Central: $108K
 * East South Central: $102K
 * West South Central: $115K
 * Mountain: $115K
 * Pacific: $137K
 * New England: Number of respondents insufficient for analysis

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




The majority of APRNs work in urban or suburban settings. We had sufficient data
to report earnings by type of community only for NPs. As shown here, annual
earnings for NPs are highest in urban settings and lowest in rural settings.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Relatively few APRNs (< 10%) belong to unions or collective bargaining units.
However, the average annual incomes of APRNs who were members of unions or
collective bargaining units ($136,000) were higher than those of nonmembers
($127,000). Non-union APRNs earned significantly more compared with the previous
year ($123,000).

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




The survey asked APRNs whether they had experienced a decrease, an increase, or
no change in earnings from the previous year. At least half of APRNs saw an
increase in their income in 2020 compared with 2019. Between 29% and 36% said it
remained the same, and between 12% and 20% reported that it decreased. It isn't
possible to determine from our data whether higher earnings reflect true wage
growth. Higher earnings might also be the result of increases in cost-of-living
compensation.

21 of 24




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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




Inevitably, the pandemic made an impact on the earnings of many APRNs. Although
few APRNs were laid off, reductions in work hours, temporary furloughs, and
suspension of annual raises probably contributed to a loss income for certain
APRN groups. Many CRNAs, for example, experienced reduced work hours while
elective surgeries were postponed. NMs were least likely to report an impact of
the pandemic on their livelihood.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information




More than half of all APRNs reported that they feel their compensation is fair,
and this proportion dropped over the previous year, from 63% in 2019 to 57% in
2020. CRNAs (the highest earners) most often reported feeling fairly
compensated. Satisfaction with annual earnings did not differ by gender, age,
union membership, or other variables.

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MEDSCAPE APRN COMPENSATION REPORT 2021

Laura A. Stokowski, RN, MS; Sarah Lesser; Mary McBride; Emily Berry | December
3, 2021 | Contributor Information





24 of 24


RELATED CONTENT ON MEDSCAPE


RELATED CONTENT ON MEDSCAPE

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MEDSCAPE APRN COMPENSATION REPORT 2020

Find out how much APRNs are being paid and whether their earnings are static or
increasing.Medscape Features Slideshow, Nov 2020


MEDSCAPE RN/LPN COMPENSATION REPORT, 2021

All Slideshows
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 * DEVELOP AND IMPROVE PRODUCTS
   
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   Your data can be used to improve existing systems and software, and to
   develop new products
   
   Object to Legitimate Interests Remove Objection

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USE PRECISE GEOLOCATION DATA

Use precise geolocation data

Your precise geolocation data can be used in support of one or more purposes.
This means your location can be accurate to within several meters.

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ACTIVELY SCAN DEVICE CHARACTERISTICS FOR IDENTIFICATION

Actively scan device characteristics for identification

Your device can be identified based on a scan of your device's unique
combination of characteristics.

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ENSURE SECURITY, PREVENT FRAUD, AND DEBUG

Always Active

Your data can be used to monitor for and prevent fraudulent activity, and ensure
systems and processes work properly and securely.

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TECHNICALLY DELIVER ADS OR CONTENT

Always Active

Your device can receive and send information that allows you to see and interact
with ads and content.

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MATCH AND COMBINE OFFLINE DATA SOURCES

Always Active

Data from offline data sources can be combined with your online activity in
support of one or more purposes

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LINK DIFFERENT DEVICES

Always Active

Different devices can be determined as belonging to you or your household in
support of one or more of purposes.

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RECEIVE AND USE AUTOMATICALLY-SENT DEVICE CHARACTERISTICS FOR IDENTIFICATION

Always Active

Your device might be distinguished from other devices based on information it
automatically sends, such as IP address or browser type.

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BACK BUTTON PERFORMANCE COOKIES



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YOUR CHOICE ON COOKIES

We and our partners store and/or access information on a device, such as unique
IDs in cookies to process personal data. You may accept or manage your choices
by clicking below, including your right to object where legitimate interest is
used, or at any time in the privacy policy page. These choices will be signaled
to our partners and will not affect browsing data.See our Cookie Notice.


WE AND OUR PARTNERS PROCESS DATA TO:

Use precise geolocation data. Actively scan device characteristics for
identification. Store and/or access information on a device. Personalised ads
and content, ad and content measurement, audience insights and product
development. List of Partners

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