Career guide
How to become a nurse practitioner (NP)
Education, licensing, training, and outlook from the BLS Occupational Outlook Handbook (2025-35 projections), with BLS May 2025 pay.
Source: BLS Occupational Outlook Handbook: Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners, read October 23, 2026. Publisher page
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Quick answer
Quick facts
- 2025 Median Pay
- $134,920 per year $64.87 per hour
- Typical Entry-Level Education
- Master's degree
- Work Experience in a Related Occupation
- None
- On-the-job Training
- None
- Number of Jobs, 2025
- 399,000
- Job Outlook, 2025 to 2035
- 36% (Much faster than average)
- Employment Change, 2025 to 2035
- 144,000
Source: BLS Occupational Outlook Handbook, read October 23, 2026. Publisher page
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Steps to become a nurse practitioner (BLS)
Nurse anesthetists, nurse midwives, and nurse practitioners, also referred to as advanced practice registered nurses (APRNs), must have at least a master’s degree in their specialty role. APRNs also must be licensed registered nurses in their state, pass a national certification exam, and have a state APRN license.
Education
Nurse anesthetists, nurse midwives, and nurse practitioners typically need at least a master's degree in an advanced practice nursing field. Accredited healthcare and related programs in these specialties typically include classroom education and clinical experience. Courses in subjects such as advanced health assessment, pathophysiology, and pharmacology are common as well as coursework specific to the chosen APRN role.
An APRN must have a registered nursing (RN) license before pursuing education in one of the advanced practice roles, and a strong background in science is helpful.
Most APRN programs prefer candidates who have a bachelor’s degree in nursing. However, some schools offer bridge programs for registered nurses with an associate’s degree or diploma in nursing. Graduate-level programs are also available for individuals who did not obtain a bachelor’s degree in nursing but in a related health science field. These programs prepare the student for the RN licensure exam in addition to offering the APRN curriculum.
Although a master’s degree is the most common form of entry-level education, APRNs may choose to earn a Doctor of Nursing Practice (DNP) or a Ph.D. The specific educational requirements and qualifications for each of the roles are available on professional organizations’ websites.
Prospective nurse anesthetists must have 1 year of experience working as registered nurse in a critical care setting as a prerequisite for admission to an accredited nurse anesthetist program.
Licenses, Certifications, and Registrations
States’ requirements for APRNs vary. In general, APRNs must have a registered nursing license, complete an accredited graduate-level program, pass a national certification exam, and have an APRN license. Details are available from each state’s board of nursing. Information on state licensing board requirements is available from CareerOneStop.
To become licensed and use an APRN title, most states require national certification.
In addition, APRN positions may require cardiopulmonary resuscitation (CPR), basic life support (BLS), or advanced cardiac life support (ACLS) certification. Information on certifications is available from CareerOneStop.
Advancement
Some APRNs take on managerial or administrative roles; others go into academia. APRNs who earn a doctoral degree may conduct independent research or work on an interprofessional research team.
Source: BLS Occupational Outlook Handbook, How to Become One, read October 23, 2026. Publisher page
Job outlook, 2025 to 2035
Overall employment of nurse anesthetists, nurse midwives, and nurse practitioners is projected to grow 36 percent from 2025 to 2035, much faster than the average for all occupations.
About 32,200 openings for nurse anesthetists, nurse midwives, and nurse practitioners are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.
| Occupation | SOC | Employment | Projected | Change % | Change |
|---|---|---|---|---|---|
| Nurse anesthetists | 29-1151 | 54,500 | 59,800 | 10% | 5,300 |
| Nurse midwives | 29-1161 | 8,200 | 9,100 | 11% | 900 |
| Nurse practitioners | 29-1171 | 336,300 | 474,100 | 41% | 137,800 |
Source: BLS Occupational Outlook Handbook, Job Outlook, read October 23, 2026. Publisher page
Pay
| Role | Median annual | Median hourly |
|---|---|---|
| Nurse Practitioner | $132,300 | $63.61 |
| Nurse Anesthetist | $236,590 | $113.75 |
| Nurse Midwife | $134,040 | $64.44 |
Highest-paying states: California ($168,520), New Jersey ($159,310), Washington ($156,100), Oregon ($155,680), Alaska ($155,170).
Source: BLS Occupational Employment and Wage Statistics, May 2025. Publisher page
Related pages
- Nurse Practitioner salary by state
- Nurse Anesthetist salary by state
- Nurse Midwife salary by state
- PA vs NP
- NPI taxonomy code 363L00000X
- Occupational Therapist salary
- Radiologic Technologist salary
- Respiratory Therapist salary
- Medical Assistant salary
- All healthcare salaries
- All healthcare career guides
- How to get an NPI number
Questions
What degree do you need to be a Nurse Practitioner?
BLS lists "Master's degree" as the typical entry-level education.
Do nurse practitioners need a license?
States’ requirements for APRNs vary. In general, APRNs must have a registered nursing license, complete an accredited graduate-level program, pass a national certification exam, and have an APRN license. Details are available from each state’s board of nursing. Information on state licensing board requirements is available from CareerOneStop.
What is the job outlook for nurse practitioners?
Overall employment of nurse anesthetists, nurse midwives, and nurse practitioners is projected to grow 36 percent from 2025 to 2035, much faster than the average for all occupations.
How much does a Nurse Practitioner make?
The BLS median for nurse practitioners was $132,300 a year ($63.61 an hour) in May 2025.
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