How much does a Nurse Practitioner make in Hawaii?

BLS puts the average Nurse Practitioner pay in Hawaii at $142,910 a year (BLS, May 2025). On that pay in Hawaii, after federal taxes, FICA, and Hawaii state taxes, your estimated take-home pay is approximately $99,471 annually ($8,289/month).

What is the take-home pay for a Nurse Practitioner in Hawaii?

On a $142,910 salary in Hawaii, your take-home pay is approximately $99,471/year or $8,289/month. Federal tax: $23,032. State tax: $9,084. FICA: $10,933. HI Temporary Disability: $390.

Is $142,910 a good Nurse Practitioner salary?

$142,910 is the BLS average Nurse Practitioner pay in Hawaii, 4% above the US average of $137,300 (BLS, May 2025). The middle 50% in Hawaii earn between $124,530 and $165,810.

How do Hawaii taxes affect Nurse Practitioner salaries?

Hawaii levies state income tax on top of federal taxes. Your estimated state tax on $142,910 is $9,084. Your total effective tax rate is approximately 30.4%.

What are the career growth prospects for Nurse Practitioners?

In Hawaii, the top 10% earn over $174,350 and the bottom 10% under $106,450 (BLS, May 2025). BLS projects 38% growth 2022-2032 — one of fastest-growing US occupations. Full Practice Authority states (24 states + DC as of 2026) drive uniquely high NP scope + independent practice opportunity. PMHNP shortage post-2020 mental health crisis = highest specialty premium. Aesthetic NP cash-pay 1099 path uniquely lucrative. Related roles include: FNP (Family Nurse Practitioner), AGNP (Adult-Gerontology NP), PMHNP (Psychiatric Mental Health NP), PNP (Pediatric NP), WHNP (Women's Health NP), ACNP (Acute Care NP), CRNA (Nurse Anesthetist), CNM (Nurse Midwife).

How can a Nurse Practitioner in Hawaii reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Nurse Practitioner Salary in Hawaii (2026)

Average Nurse Practitioner pay in Hawaii

$142,910/year

≈ $69/hour before tax

Middle 50% earn $124,530–$165,810

US average: $137,300

Source: BLS, May 2025

After tax (single filer)

$99,471/year

$8,289/month · effective tax rate 30.4%

Federal $23,032
State $9,084
Disability / leave $390
FICA $10,933
Take-home

Pay by role in Hawaii

Sr Psychiatric Mental Health NP (PMHNP)$135,000–$215,000+ bonus
Sr Acute Care NP (ACNP / AGACNP)$125,000–$192,000+ bonus
Sr Family NP (FNP / Primary Care)$112,000–$168,000+ bonus
Sr Adult-Gerontology NP (AGNP)$112,000–$168,000+ bonus
Sr Emergency NP$132,000–$195,000+ bonus
Sr Women Health NP / WHNP$108,000–$165,000+ bonus

See all 10 roles with notes

See the full tax breakdown

Category	Amount
Annual Take-Home Pay	$99,471
Monthly Take-Home Pay	$8,289
Biweekly Take-Home Pay	$3,826
Hourly Take-Home Pay based on 2,080 hrs/year	$48/hr
Federal Tax	$23,032
State Tax	$9,084
HI Temporary Disability (max.)	$390
FICA Taxes	$10,933
Effective Tax Rate total taxes ÷ gross salary	30.4%

Estimates only — not tax advice. · Full disclaimer →

Not all Nurse Practitioners earn the same — not even close

Hawaii's nurse practitioner market is anchored by Queen's Health Systems + Kaiser Permanente Hawaii + Tripler Army Medical Center + Hawaii Pacific Health (Straub + Pali Momi + Kapiolani + Wilcox) + Adventist Health Castle + neighbor island community (Maui Memorial + Hilo Medical Center + Kona Community + Kauai Veterans Memorial) + the substantial post-2009 HI NP Full Practice Authority (HRS §457 et seq.) enabling independent NP practice in primary care + urgent care + retail clinics + the substantial HI rural + neighbor island NP-led primary care + Federally Qualified Health Center FQHC NP + Rural Health Center RHC NP, University of Hawaii Manoa School of Nursing & Dental Hygiene DNP-NP + Hawaii Pacific University DNP-NP + Chaminade + BYU-Hawaii NP + the substantial HI DNP pipeline + the substantial HI post-2020 NP independent practice growth particularly on Maui + Big Island + Kauai.

Sr Psychiatric Mental Health NP (PMHNP)

$135,000–$215,000+ bonus

PMHNP at Queen + Kaiser HI + Tripler + private psych + HI BH gap

Sr Acute Care NP (ACNP / AGACNP)

$125,000–$192,000+ bonus

ACNP at Queen + Kaiser + Tripler + Straub · ICU + step-down + post-op

Sr Family NP (FNP / Primary Care)

$112,000–$168,000+ bonus

FNP at HI major systems + community + independent practice post-FPA

Sr Adult-Gerontology NP (AGNP)

$112,000–$168,000+ bonus

AGNP at HI major systems + geriatric + LTACH + HI aging population

Sr Emergency NP

$132,000–$195,000+ bonus

ENP at Queen + Kaiser + Tripler + community ED + urgent care

Sr Women Health NP / WHNP

$108,000–$165,000+ bonus

WHNP at Queen + Kaiser + Kapiolani + Planned Parenthood + community

Sr Pediatric NP (PNP)

$108,000–$165,000+ bonus

PNP at Kapiolani + Queen peds + Kaiser HI peds + community peds

Sr Independent Practice NP (post-FPA / Neighbor Island)

$118,000–$215,000+ bonus

Independent NP practice · Maui + Big Island + Kauai · post-2009 FPA

Mid-Level NP (3-6 yrs)

$95,000–$138,000+ bonus

Functional NP at HI major systems · transitioning to senior band

New Grad NP (DNP / MSN)

$102,000–$125,000+ bonus

HI new grad · UH Manoa DNP + Hawaii Pacific DNP + Chaminade

Worth knowing: post-2009 HI NP Full Practice Authority + HI rural + neighbor island NP-led primary care + post-2020 HI NP independent practice growth tri-anchor is one of the country's distinctive concentrated US single-state NP FPA + neighbor island NP-led + post-2020 NP independent practice anchor and a feature most national NP surveys understate for HI. HI NP Full Practice Authority since 2009 (HRS §457 et seq. + the substantial HI NP FPA enabling HI NPs to evaluate + diagnose + interpret diagnostic tests + initiate + manage treatment + prescribe controlled substances Schedules II-V independently without physician oversight). HI rural + neighbor island NP-led primary care (the substantial post-2009 HI NP-led primary care + urgent care + retail clinics on Maui + Big Island + Kauai + Molokai + Lanai + the substantial Federally Qualified Health Center FQHC NP + Rural Health Center RHC NP staffing). post-2020 HI behavioral health gap (the substantial post-2020 HI PMHNP demand + the substantial post-2020 HI BH access expansion). UH Manoa Nursing DNP + Hawaii Pacific DNP + Chaminade + BYU-Hawaii. HI NLC + post-Act 46 HI progressive top 11% phased 2024-2031 anchor the HI NP proposition.

Sources & Methodology

Salary figures are market estimates for Nurse Practitioners in Hawaii and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and Hawaii 2026 state rates. Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.

Run your own numbers