How much does a Nurse Practitioner make in Iowa?

BLS puts the average Nurse Practitioner pay in Iowa at $136,940 a year (BLS, May 2025). On that pay in Iowa, after federal taxes, FICA, and Iowa state taxes, your estimated take-home pay is approximately $100,313 annually ($8,359/month).

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

On a $136,940 salary in Iowa, your take-home pay is approximately $100,313/year or $8,359/month. Federal tax: $21,600. State tax: $4,552. FICA: $10,476.

Is $136,940 a good Nurse Practitioner salary?

$136,940 is the BLS average Nurse Practitioner pay in Iowa, about the same as the US average of $137,300 (BLS, May 2025). The middle 50% in Iowa earn between $122,720 and $141,940.

How do Iowa taxes affect Nurse Practitioner salaries?

Iowa levies state income tax on top of federal taxes. Your estimated state tax on $136,940 is $4,552. Your total effective tax rate is approximately 26.7%.

What are the career growth prospects for Nurse Practitioners?

In Iowa, the top 10% earn over $167,590 and the bottom 10% under $107,990 (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 Iowa 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 Iowa (2026)

Average Nurse Practitioner pay in Iowa

$136,940/year

≈ $66/hour before tax

Middle 50% earn $122,720–$141,940

US average: $137,300

Source: BLS, May 2025

After tax (single filer)

$100,313/year

$8,359/month · effective tax rate 26.75%

Federal $21,600
State $4,552
FICA $10,476
Take-home

Pay by role in Iowa

Senior NP Owner / Independent Practice$125,000–$195,000+ profit
Senior FNP (UnityPoint / MercyOne)$108,000–$148,000+ bonus
Senior Acute Care NP (UIHC / UnityPoint)$112,000–$152,000+ bonus
Senior PMHNP (Mental Health)$115,000–$162,000+ bonus
Senior Pediatric NP (Stead Family Childrens)$105,000–$145,000+ bonus
Senior Oncology NP (Holden Cancer)$112,000–$155,000+ bonus

See all 10 roles with notes

See the full tax breakdown

Category	Amount
Annual Take-Home Pay	$100,313
Monthly Take-Home Pay	$8,359
Biweekly Take-Home Pay	$3,858
Hourly Take-Home Pay based on 2,080 hrs/year	$48/hr
Federal Tax	$21,600
State Tax	$4,552
FICA Taxes	$10,476
Effective Tax Rate total taxes ÷ gross salary	26.75%

Estimates only — not tax advice. · Full disclaimer →

Not all Nurse Practitioners earn the same — not even close

Iowa's nurse practitioner market is anchored by IA NP Full Practice Authority since 2016 (HF 645 of 2016 + Iowa Code §152.1 + §147.107 + the substantial IA NP independent practice + the substantial IA NP rural + community health practice + the substantial IA NP own clinic ownership), UnityPoint Health (largest IA-HQ multi-state health system ~30K + UnityPoint Methodist Des Moines + UnityPoint St Luke Cedar Rapids + UnityPoint Allen Waterloo + UnityPoint Trinity Quad Cities + multi-state IA + IL + WI), University of Iowa Hospitals & Clinics UIHC Iowa City (only IA Level 1 + Holden Cancer NCI + Stead Family Childrens), MercyOne Trinity Health Catholic (MercyOne Des Moines + Cedar Rapids + Waterloo + Sioux City), Genesis Health Davenport + Mercy Iowa City, the substantial IA rural NP practice serving Iowa Western + Eastern IA + Mississippi River corridor, plus UI College of Nursing DNP + Clarke University Dubuque DNP + Allen College Waterloo + Mercy College Sioux City NP pipelines.

Senior NP Owner / Independent Practice

$125,000–$195,000+ profit

IA FPA since 2016 · NP own primary care + women + mental health clinic ownership

Senior FNP (UnityPoint / MercyOne)

$108,000–$148,000+ bonus

Family NP at UnityPoint + MercyOne + UIHC + community health · panel-based primary care

Senior Acute Care NP (UIHC / UnityPoint)

$112,000–$152,000+ bonus

AGACNP at UIHC Level 1 + UnityPoint ICU + ED · the substantial IA acute care

Senior PMHNP (Mental Health)

$115,000–$162,000+ bonus

PMHNP at UIHC + UnityPoint Behavioral + the substantial IA psychiatric NP demand

Senior Pediatric NP (Stead Family Childrens)

$105,000–$145,000+ bonus

PNP at Stead Family Childrens Hospital UIHC · the substantial IA pediatric NP

Senior Oncology NP (Holden Cancer)

$112,000–$155,000+ bonus

AOCNP at Holden Comprehensive Cancer Center · the only IA NCI oncology NP

Senior Rural NP (Western / Eastern IA)

$105,000–$145,000+ loan repayment

Rural NP at Western + Eastern IA · NHSC + Iowa Loan Repayment Program

Senior Federal Civilian NP (VA Iowa City / Des Moines)

$108,000–$148,000

VA Iowa City + VA Central Iowa Des Moines · GS-13 federal civilian NP

Senior School / Occupational NP

$92,000–$128,000

IA public schools + Iowa Workforce + occupational health NP

New NP (0-2 yrs)

$88,000–$112,000

New grad NP at UnityPoint + UIHC residency programs · entry NP band

Worth knowing: Iowa NP Full Practice Authority since 2016 + the substantial IA rural NP practice is one of the country's distinctive concentrated US single-state Midwest FPA-state rural NP anchor and a feature most national NP surveys understate for IA. IA NP FPA (HF 645 of 2016 + Iowa Code §152.1 + §147.107 + the substantial IA NP independent practice authority since 2016 + the substantial IA NP own clinic ownership + the substantial IA NP independent prescribing + the substantial IA NP independent diagnosis + treatment + the substantial IA NP rural + community health independent practice serving Western IA + Eastern IA + Mississippi River corridor + the substantial IA NP Iowa Loan Repayment Program + NHSC rural access) supports distinctive IA NP independent practice economics. Senior independent NP clinic owners clear $125-195K+ profit. UnityPoint Health (largest IA-HQ multi-state health system + ~30K + the substantial UnityPoint multi-state IA + IL + WI + the substantial UnityPoint NP independent practice leveraging IA FPA) supports substantial IA NP work. Senior UnityPoint + MercyOne NPs clear $108-162K+ bonus. UIHC + Stead Family Childrens + Holden Cancer + MercyOne Trinity Health + the substantial IA rural NP with NHSC + Iowa Loan Repayment + the substantial IA VA Iowa City + VA Central Iowa Des Moines federal civilian NP supports broad IA NP. IA flat 3.8% + IA RTW since 1947 + IA inheritance tax repealed Jan 1 2025 + IA property tax ~1.50% anchor the IA NP proposition.

Sources & Methodology

Salary figures are market estimates for Nurse Practitioners in Iowa and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and Iowa 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