Nurse Practitioner / Physician Assistant
Also known as: NP, PA, Nurse Practitioner, Physician Assistant, PA-C, APRN, Mid-Level Provider
Diagnose illnesses, prescribe medications, and manage patient care independently or alongside physicians in clinics and hospitals.
Salary Range
The highest-paid specialization or seniority level for nurse practitioner / physician assistants.
About 1 in 200 reaches this level
About 170K PAs in the US; surgical PAs are the highest-paid PA specialty at $140-180K. Those in cardiac, neuro, and ortho subspecialties can reach $200K+ total comp. PA Program Director is an academic role paying less (~$120K). 0.5% reflects the fraction reaching top surgical specialty comp.
Salary data based on 2025 BLS, Glassdoor, and industry reports. Actual compensation varies by location, experience, and employer.
How to Become One
This career typically requires a master's degree. Here are the top colleges for it:
AI Risk Assessment
AI assists meaningfully with documentation and diagnostic support, but demand growth far outpaces those gains. BLS projects NP employment up 35% from 2024-2034 (among the three fastest-growing occupations in the entire economy, ~32,700 annual openings) and PA employment up 20% (~12,000 openings/year). Ambient scribes are now widely adopted — a 2026 Wolters Kluwer survey found 56% of PAs use AI daily and 48% use ambient scribe tools — but the productivity gain is modest: a JAMA study of 1,800 clinicians published in 2026 found AI scribes save about 16 minutes per 8-hour shift and enable roughly one additional patient every two weeks. That is not nearly enough to offset 20-35% demand growth driven by an aging population and a 3M+ healthcare worker shortfall.
Sources
Ratings reflect a 10-year outlook based on 2025-2026 research, weighted toward entry-level impact. Individual outcomes will vary.
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