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Lead Nurse Practitioner salary in Fresno, CA

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The median annual wage for Nurse Practitioners (the closest BLS occupation to Lead Nurse Practitioner) in Fresno, CA was $166,570 in BLS OEWS May 2025. The middle half of workers earned between $138,900 and $191,270.

Broader occupation · SOC 29-1171

BLS occupation: Nurse Practitioners.

BLS reports Nurse Practitioners as one occupation. It does not publish a separate wage for Lead Nurse Practitioner, this seniority level or these engagement terms.

Fresno, CA versus the nation

Fresno, CA median is $34,270 (25.9%) above the national median of $132,300.

Fresno, CA

U.S. Bureau of Labor Statistics · OEWS May 2025Nurse Practitioners, Fresno, CA
Pay range for Nurse Practitioners, Fresno, CAMedian $166,570$86,139$229,306
  • P10 to P90 published range
  • P25 to P75 middle range
  • P50 median
Each mark uses wages published by BLS for this occupation and area. See the percentile table below for exact values.
Nurse Practitioners, Fresno, CA, BLS OEWS May 2025.
PointAnnual wage
10th percentile$129,300
25th percentile$138,900
Median$166,570
75th percentile$191,270
90th percentile$212,320
Mean (average)$167,690

United States

U.S. Bureau of Labor Statistics · OEWS May 2025Nurse Practitioners, United States
Pay range for Nurse Practitioners, United StatesMedian $132,300$86,139$229,306
  • P10 to P90 published range
  • P25 to P75 middle range
  • P50 median
Each mark uses wages published by BLS for this occupation and area. See the percentile table below for exact values.
Nurse Practitioners, United States, BLS OEWS May 2025.
PointAnnual wage
10th percentile$101,340
25th percentile$117,990
Median$132,300
75th percentile$156,700
90th percentile$174,420
Mean (average)$137,300

For Nurse Practitioners in Fresno, CA, BLS reports a median of $166,570; the middle half of workers earned between $138,900 and $191,270 (BLS OEWS May 2025).

Fresno, CA

U.S. Bureau of Labor Statistics · OEWS May 2025Nurse Practitioners, Fresno, CA
Pay range for Nurse Practitioners, Fresno, CAMedian $80.08$41.41$110.25
  • P10 to P90 published range
  • P25 to P75 middle range
  • P50 median
Each mark uses wages published by BLS for this occupation and area. See the percentile table below for exact values.
Nurse Practitioners, Fresno, CA, BLS OEWS May 2025.
PointHourly wage
10th percentile$62.17
25th percentile$66.78
Median$80.08
75th percentile$91.96
90th percentile$102.08
Mean (average)$80.62

United States

U.S. Bureau of Labor Statistics · OEWS May 2025Nurse Practitioners, United States
Pay range for Nurse Practitioners, United StatesMedian $63.61$41.41$110.25
  • P10 to P90 published range
  • P25 to P75 middle range
  • P50 median
Each mark uses wages published by BLS for this occupation and area. See the percentile table below for exact values.
Nurse Practitioners, United States, BLS OEWS May 2025.
PointHourly wage
10th percentile$48.72
25th percentile$56.73
Median$63.61
75th percentile$75.34
90th percentile$83.86
Mean (average)$66.01

For Nurse Practitioners in Fresno, CA, BLS reports a median of $80.08; the middle half of workers earned between $66.78 and $91.96 (BLS OEWS May 2025).

What BLS wages include and exclude

OEWS includes commissions and production bonuses. It excludes overtime, shift differentials, nonproduction bonuses and employer benefits. It is neither pure base salary nor total compensation.

Included

  • Base rates
  • Commissions
  • Cost-of-living allowances
  • Deadheading pay
  • Guaranteed pay
  • Hazard pay
  • Incentive pay
  • Longevity pay
  • Over-the-road pay (Mileage)
  • Piece rates
  • Portal-to-portal rates
  • Production bonuses
  • Tips

Excluded

  • Attendance bonuses
  • Back pay
  • Clothing allowances
  • Discount
  • Draw
  • Holiday bonus
  • Holiday premium pay
  • Jury duty pay
  • Meal and lodging payments
  • Merchandise discounts
  • Non-production bonuses
  • On-call pay
  • Overtime pay
  • Perquisites
  • Profit-sharing payments
  • Relocation allowances
  • Severance pay
  • Shift differentials
  • Stock bonuses
  • Tool/equipment allowances
  • Tuition repayment
  • Uniform allowance
  • Weekend premium pay
  • Year-end bonuses

Employment: 570 jobs. Location quotient: 0.57.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, BLS OEWS May 2025. SOC 29-1171 Nurse Practitioners, Fresno, CA. Published 2026-05-15. BLS release tables (find this SOC and area). Release notes. Methodology and retrieval dates. CSV

How has published pay changed since the last BLS release?

These are separate BLS estimates, not a wage growth forecast. Survey coverage and area boundaries can change. The table places the published median for Nurse Practitioners in Fresno, CA from BLS OEWS May 2024 next to BLS OEWS May 2025. A top-coded value is a floor, not an exact median.

Nurse Practitioners, SOC 29-1171, Fresno, CA. Published medians from both reference periods.
Pay basisBLS OEWS May 2024BLS OEWS May 2025
annual$161,550$166,570
hourly$77.67$80.08

Prior release: 2024-05, published 2025-04-02. Current release: 2025-05, published 2026-05-15. A top-coded value is a floor, not an exact median.

What does this pay include, and what does it leave out?

OEWS counts base rates, guaranteed pay, commissions and production bonuses. It describes employee wages, not pure base salary or total compensation. Employer benefits and self-employed earnings are outside these wage estimates. For physicians and other providers, production bonuses and commissions belong in BLS wages.

Do not add them twice. Partnership distributions and contractor receipts are not a separate rate published by OEWS.

Overtime, shift differentials and on-call pay are excluded. If this job has a call rota or extra shifts, spell out those payments rather than treating the BLS median as the whole package.

Meal and lodging payments and relocation allowances are excluded. A travel per diem for those costs is not part of this wage. Keep it separate from the pay comparison.

Non-production bonuses are excluded. A sign-on or retention payment that is not tied to production should be discussed separately. BLS does not publish an amount to add for that payment.

BLS pay definitions. These notes do not add an estimated bonus or premium.

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