How much does a Nurse Practitioner make in Montana?

BLS puts the average Nurse Practitioner pay in Montana at $135,290 a year (BLS, May 2025). On that pay in Montana, after federal taxes, FICA, and Montana state taxes, your estimated take-home pay is approximately $97,454 annually ($8,121/month).

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

On a $135,290 salary in Montana, your take-home pay is approximately $97,454/year or $8,121/month. Federal tax: $21,204. State tax: $6,283. FICA: $10,350.

Is $135,290 a good Nurse Practitioner salary?

$135,290 is the BLS average Nurse Practitioner pay in Montana, about the same as the US average of $137,300 (BLS, May 2025). The middle 50% in Montana earn between $123,260 and $151,860.

How do Montana taxes affect Nurse Practitioner salaries?

Montana levies state income tax on top of federal taxes. Your estimated state tax on $135,290 is $6,283. Your total effective tax rate is approximately 28.0%.

What are the career growth prospects for Nurse Practitioners?

In Montana, the top 10% earn over $166,940 and the bottom 10% under $105,110 (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 Montana 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 Montana (2026)

Average Nurse Practitioner pay in Montana

$135,290/year

≈ $65/hour before tax

Middle 50% earn $123,260–$151,860

US average: $137,300

Source: BLS, May 2025

After tax (single filer)

$97,454/year

$8,121/month · effective tax rate 27.97%

Federal $21,204
State $6,283
FICA $10,350
Take-home

Pay by role in Montana

Senior NP Owner / Independent Practice$118,000–$185,000+ profit
Senior FNP (Billings / Logan / Bozeman / Benefis)$95,000–$135,000+ bonus
Senior Acute Care NP (Billings Level 1 / Logan / Bozeman)$108,000–$148,000+ bonus
Senior PMHNP (Mental Health)$108,000–$155,000+ bonus
Senior Pediatric NP$98,000–$135,000+ bonus
Senior IHS Reservation NP$108,000–$148,000+ loan repayment + housing

See all 10 roles with notes

See the full tax breakdown

Category	Amount
Annual Take-Home Pay	$97,454
Monthly Take-Home Pay	$8,121
Biweekly Take-Home Pay	$3,748
Hourly Take-Home Pay based on 2,080 hrs/year	$47/hr
Federal Tax	$21,204
State Tax	$6,283
FICA Taxes	$10,350
Effective Tax Rate total taxes ÷ gross salary	27.97%

Estimates only — not tax advice. · Full disclaimer →

Not all Nurse Practitioners earn the same — not even close

Montana's nurse practitioner market is anchored by MT NP Full Practice Authority since 1995 (Montana Code §37-8-202 + one of the country's earliest US FPA states + the substantial MT NP independent practice + the substantial MT NP rural + reservation NP practice + the substantial MT NP own clinic ownership), Billings Clinic + Logan Health Kalispell (post-2024 merger), Bozeman Health Deaconess + St Vincent Healthcare Billings + Benefis Great Falls + St Patrick Missoula NP, the substantial Indian Health Service IHS MT reservation NP (Blackfeet + Crow + Northern Cheyenne + Fort Peck + Fort Belknap + Rocky Boy + Salish Kootenai IHS NP), the substantial MT rural NP practice serving Eastern MT + Hi-Line corridor + Western MT, VA Montana Health Care Fort Harrison Helena NP, plus MSU Jones College of Nursing DNP + Carroll College NP + Frontier Nursing University DNP MT residents pipeline.

Senior NP Owner / Independent Practice

$118,000–$185,000+ profit

MT FPA since 1995 · NP own primary care + women + mental health clinic ownership

Senior FNP (Billings / Logan / Bozeman / Benefis)

$95,000–$135,000+ bonus

Family NP at MT health systems + community health · panel-based primary care

Senior Acute Care NP (Billings Level 1 / Logan / Bozeman)

$108,000–$148,000+ bonus

AGACNP at Billings Clinic + Logan + Bozeman Health · acute care

Senior PMHNP (Mental Health)

$108,000–$155,000+ bonus

PMHNP at MT behavioral health + the substantial MT rural + reservation psychiatric NP demand

Senior Pediatric NP

$98,000–$135,000+ bonus

PNP at Billings Clinic + Bozeman Health · the substantial MT pediatric NP

Senior IHS Reservation NP

$108,000–$148,000+ loan repayment + housing

Blackfeet + Crow + Northern Cheyenne + Fort Peck IHS · NHSC + LRP + housing

Senior Rural NP (Eastern MT / Hi-Line)

$98,000–$138,000+ loan repayment

Rural NP at Eastern MT + Hi-Line + Western MT · NHSC + MT Loan Repayment Program

Senior Federal Civilian NP (VA Fort Harrison)

$105,000–$148,000

VA Montana Health Care Fort Harrison Helena · GS-13 federal civilian NP

Senior School / Occupational NP

$82,000–$118,000

MT public schools + MT Department of Labor + occupational health NP

New NP (0-2 yrs)

$78,000–$105,000

New grad NP at Billings + Logan + Bozeman residency programs · entry NP band

Worth knowing: Montana NP Full Practice Authority since 1995 + the substantial MT rural + reservation NP practice is one of the country's distinctive concentrated US single-state earliest FPA + rural NP anchor and a feature most national NP surveys understate for MT. MT NP FPA (Montana Code §37-8-202 + Montana Board of Nursing rules + the substantial MT NP independent practice authority since 1995 making MT one of the country's earliest US FPA states + the substantial MT NP own clinic ownership + the substantial MT NP independent prescribing + the substantial MT NP independent diagnosis + treatment + the substantial MT NP rural + community health independent practice serving Eastern MT + Hi-Line + Western MT + the substantial MT NP reservation independent practice serving 7 MT reservations + the substantial MT WWAMI rural NP pipeline) supports distinctive MT NP independent practice economics. Senior independent NP clinic owners clear $118-185K+ profit. The substantial Indian Health Service IHS MT reservation NP (Blackfeet IHS Browning + Crow Agency IHS + Northern Cheyenne IHS Lame Deer + Fort Peck IHS Poplar + Fort Belknap IHS Harlem + Rocky Boy IHS Box Elder + Salish Kootenai + IHS Loan Repayment Program LRP + IHS Scholarship + housing). Billings Clinic + Logan Health post-2024 merger + Bozeman Health + St Vincent Intermountain MT + Benefis + St Patrick + Community Medical Center + VA Fort Harrison Helena. MT top 5.65% + MT is NOT a RTW state + MT 0% sales tax anchor the MT NP proposition.

Sources & Methodology

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