How much does a Nurse Practitioner make in Iowa?

The average Nurse Practitioner salary in Iowa is around $138,000 per year. After federal taxes, FICA, and Iowa state taxes, your estimated take-home pay is approximately $100,957 annually ($8,413/month).

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

On a $138,000 salary in Iowa, your take-home pay is approximately $100,957/year or $8,413/month. Federal tax: $21,854. State tax: $4,632. FICA: $0.00.

Is $138,000 a good Nurse Practitioner salary?

$138,000 is a strong salary for a Nurse Practitioner — above the national median. In Iowa, demand for this role is active.

How do Iowa taxes affect Nurse Practitioner salaries?

Iowa levies state income tax on top of federal taxes. Your estimated state tax on $138,000 is $4,632. Your total effective tax rate is approximately 26.8%.

What are the career growth prospects for Nurse Practitioners?

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 ($145K-$220K). 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)

The average Nurse Practitioner in Iowa earns around $138,000/year. After taxes, your estimated take-home is $100,957/year ($8,413/month).

Take-Home Pay Breakdown

Category	Amount
Annual Take-Home Pay	$100,957
Monthly Take-Home Pay	$8,413
Biweekly Take-Home Pay	$3,883
Hourly Take-Home Pay based on 2,080 hrs/year	$49/hr
Federal Tax	$21,854
State Tax	$4,632
FICA Taxes	$10,557
Effective Tax Rate total taxes ÷ gross salary	26.84%

Estimates only — not tax advice. · Full disclaimer →

Want to model 401(k), HSA, or pre-tax contributions against your full salary? Open the salary calculator →

Got a year-end bonus, sign-on, or retention payout? See the bonus calculator →

1099 contract work or side gigs? Self-employment tax adds 15.3% on top. Open the 1099 tax calculator →

Working overtime? The 2025 OBBBA deduction may save you up to $12,500 on federal tax. Open the No Tax on Overtime calculator →

Key terms:···

Nurse Practitioner Salary Ranges in Iowa

Entry Level (0–3 yrs)

$110,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$138,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$220,000

/year

See tax breakdown →

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.