Adult Gerontology Nurse Practitioner Salary in 2025: How Much AGNPs Really Make

The average adult gerontology nurse practitioner salary in 2025 is $118,644, with top AGNPs in states like Washington and New York earning over $150,000. Salaries vary depending on workplace settings, experience, and certifications, but AGNPs are well-positioned for long-term career growth as the U.S. healthcare system adjusts to a rapidly aging population.

TL;DR – Adult Gerontology Nurse Practitioner Salary in 2025: How Much AGNPs Really Make

• The average AGNP salary is $118,644, with top earners in states like Washington and New York making over $150,000.
• Workplace and experience matter. Hospitals, acute care, and leadership roles pay the most—new grads often start between $95K–$110K.
• Extra certifications = extra income. Training in palliative care, wound care, or dual-certification can boost earnings by $10K–$20K.
• Negotiation is key. Know your worth, highlight your clinical skills, and use salary data to strengthen your offer.
• AGNPs are in demand. As the U.S. population ages rapidly, this specialty is one of the most stable and high-growth NP career paths.

Why Adult Gerontology Nurse Practitioner Salary Is a Hot Topic

If you’re an NP you’ve probably heard that adult gerontology nurse practitioners (AGNPs) are in high demand. And no, it’s not just because we’re amazing (although, that too). It’s because America’s healthcare system is being completely reshaped by one undeniable trend: we’re getting older. Fast.

By 2034, adults over 65 will outnumber kids under 18 for the first time in U.S. history. That means adult gerontology nurse practitioners are quickly becoming essential in primary care settings, community health centers, long term care facilities, and beyond.

Whether you’re managing chronic conditions, developing treatment plans, or coordinating family focused healthcare services, this specialty offers one of the most stable and increasingly lucrative career paths in modern advanced nursing practice.

AGNP Salary in 2025: What Nurse Practitioners Need to Know Now

If you’ve been Googling “adult gerontology nurse practitioner salary” while quietly side-eyeing your student loan balance, good news: salaries for AGNPs are climbing fast, thanks to increased demand for clinicians who specialize in treating adult patients, managing chronic conditions, and leading family focused care in aging populations.

Here’s what the data says:

• National median annual salary for AGNPs (2025): $118,644
• Typical salary range: $107,000 to $130,000 depending on state, experience, and setting
• Top earners in high-demand states like Washington or New York: $150,000+
• New grads starting strong: Many report offers in the $95K–$110K range, especially in acute or underserved healthcare settings

And this isn’t just about geography. AGNPs are uniquely trained in advanced health assessment, chronic illness care, and comprehensive treatment plans, making them indispensable in both traditional and emerging healthcare systems.

That value is finally being reflected in compensation, especially as demand surges in everything from primary care to long term care facilities.

What Impacts AGNP Salary Beyond Location

While location can set the baseline, it’s your skills, experience, and workplace choices that truly shape your adult gerontology nurse practitioner salary. From how many clinical hours you’ve logged to the types of patients you treat, these factors can mean the difference between $95K and $145K.

1. Clinical Experience and Career Stage

AGNP salaries often rise with hands-on experience and leadership roles. Each year on the job doesn’t just sharpen your skills—it strengthens your negotiation power.

• New grads typically start between $90,000 and $105,000, especially if they completed rotations in geriatric care or chronic disease management
• AGNPs with 3–5 years of experience often surpass $120,000, particularly if they’ve worked in high-acuity healthcare settings
• Senior-level AGNPs who lead teams or mentor others can earn up to $145,000+, especially in academic health centers or systems-based roles

Every year you treat patients, manage care plans, and coordinate with other medical professionals adds up to deeper trust, greater autonomy, and significantly better compensation.

2. Workplace Setting and Patient Population

Your paycheck changes based on where and who you care for. High-complexity settings and demanding patient populations often mean higher pay.

• Hospitals, acute care units, and private practices tend to offer the highest salaries due to complex patient loads and 24/7 care models
• Primary care settings offer mid-range salaries with more stable hours, especially in family focused healthcare services
• Community health centers and rural clinics may pay less, but they often offer loan forgiveness, better work-life balance, and meaningful care for underserved populations

If you’re open to diverse healthcare settings, there’s big money (and impact) in going where care is most needed.

3. Certifications and Specialties

Adding credentials is more than alphabet soup—it’s one of the fastest ways to increase your AGNP earning potential and open new doors.

• AGNPs with certifications in palliative care, mental health, or wound care often earn $10K–$20K more annually
• Dual-certified NPs (e.g., AGNP + FNP) have access to a broader range of roles in both acute and primary care
• Specialized training in advanced health assessment, diagnostic tests, and treatment planning helps AGNPs stand out in crowded job markets

A little extra time in an online program or CE course can unlock major career moves—and compensation to match.

4. Negotiation Skills

Yes, we’re going there. Your ability to negotiate can turn a good offer into a great one. Even new grads can advocate for more—when they come prepared.

• Use labor statistics and median annual salary data to back up your ask with facts, not feelings
• Highlight your educational requirements (like passing the National Council Licensure Examination, completing a master’s degree, and fulfilling 500–700 clinical hours)
• Emphasize your strengths in clinical management, interdisciplinary teamwork, and comprehensive care for older patients

Negotiation isn’t pushy, it's professional. You’re not just applying for a job; you’re presenting yourself as a solution to a real healthcare need.

But even with the right credentials, experience, and negotiation game, there’s one factor that can still tip the salary scales hard: where you work.

Your zip code doesn’t just influence your lifestyle, it can have a direct impact on your paycheck, your scope of practice, and even your long-term growth options. So let’s talk about location, autonomy, and where adult gerontology nurse practitioners are getting paid what they truly deserve.

AGNP Salary by State and Setting

From scope-of-practice laws to population demand, geography shapes opportunity and compensation for gerontology nurse practitioners. Based on recent labor statistics, here are the top-paying states for AGNPs in 2025:

So, why are these states leading the salary game?

• Full practice authority: NPs can work independently, which increases demand and earning power
• Aging populations: More older adults = more need for AGNPs trained in comprehensive care
• Emphasis on primary care: States investing in community health centers and NP-led clinics offer more roles and higher pay

Meanwhile, states like Florida and West Virginia despite having large senior populations lag behind in AGNP salary due to restrictive practice laws and saturated NP markets.

Bottom line? If you’re open to relocation or remote roles, your practice areas, scope of care, and median annual salary could jump significantly. Even if you stay put, understanding your local landscape helps you negotiate smarter and plan better.

Of course, salary is just one part of the equation. What’s even more important? Long-term career security.

And when it comes to staying relevant in a rapidly evolving healthcare system, AGNPs aren’t just along for the ride, they’re driving the bus. Let’s zoom out and look at the bigger picture: what does the future really look like for adult gerontology nurse practitioners?

Why AGNPs Are Reshaping Healthcare: Career Outlook and Job Stability

The U.S. healthcare system is being rebuilt around one undeniable trend: aging. From geriatric care and chronic illnesses to family focused care and system-wide reform, adult gerontology nurse practitioners are becoming the go-to providers for some of the most complex, high-need patient populations.

Here’s why the future belongs to AGNPs:

• The median age in the U.S. jumped from 30 in 1980 to nearly 39 in 2025—and it’s still climbing
• By 2034, Americans 65+ will outnumber children under 18 for the first time in history
• Over the next 25 years, older adults will make up more than 23% of the population

That means gerontology nurse practitioners won’t just be helpful—they’ll be essential to every healthcare system in the country.

The Clinical Skillset Healthcare Systems Are Built Around

AGNPs are trained for more than just check-ups. You’re managing the entire aging process, coordinating with other medical professionals, and designing treatment plans that improve both outcomes and quality of life.

• Managing chronic diseases like diabetes, heart failure, arthritis, and dementia
• Coordinating care across specialists, pharmacists, rehab teams, and family members
• Leading comprehensive care initiatives in primary care settings, hospitals, and long term care facilities

Your ability to deliver holistic, preventative, and culturally competent care makes you invaluable in both urban and rural settings.

The Career Paths Are Expanding

AGNPs aren’t stuck in one lane. As the healthcare landscape evolves, so do your options:

• Telehealth and virtual care for managing stable chronic conditions remotely
• Policy and advocacy, helping shape the future of nursing practice and healthcare policy
• Education and mentorship, training the next generation of NPs in collegiate nursing education
• Entrepreneurship in senior-focused private practice or group clinics

Knowing where the highest salaries are is one thing but actually landing a job in those states (or remote roles tied to them) is a whole different game.

Unfortunately, most job boards make that process frustrating, time-consuming, and totally NP-unfriendly.

That’s why having the right platform behind you isn’t a luxury, it's a strategy. Let’s talk about how NPHirehelps you skip the chaos and go straight to the good stuff.

How NPHire Helps AGNPs Find High-Paying Roles in the Right Healthcare Settings

Most job boards treat nurse practitioners like afterthoughts. You scroll past listings for LPNs, get ghosted after applying, and half the jobs don’t even list a salary.

For adult gerontology nurse practitioners trying to match with the right roles in the right healthcare settings, it’s a nightmare.

That’s exactly why we built NPHire, a job platform made exclusively for NPs (not RNs, not MDs, not “everyone in healthcare”). Just NPs. And that focus changes everything.

NP-Only Listings, Early Access Roles

• We work directly with top employers looking specifically for AGNPs, FNPs, and other NP specialties
• Get early access to high-paying positions—often before they hit the major boards
• No more wasting time on listings that aren’t even open to your credential

Full Salary Transparency

• Every job shows the actual salary or range up front
• Filter by median annual salary, location, remote options, and more
• No more mystery or mid-interview “surprises”

AI-Powered Job Matching

• Our AI recommends jobs based on your specialty, experience level, desired setting, and career goals
• Whether you want primary care, geriatric health, or a pivot into private practice, you’ll only see roles that match your path
• It’s like having a personal recruiter—without the weird LinkedIn messages

"New Grad Friendly” Tags + Filters

• Recently passed your certification exam? Still completing your clinical hours? We’ve got you.
• Our filters let you instantly find roles open to newer grads, including in community health centers and long term care facilities

You’ve done the hard part getting your advanced degree, studying for boards, building your skills in chronic illness and preventive care. Now let NPHire make the next part easy: finding a fulfilling career that pays you what you're worth.

Real Salary. Real Jobs. Real Support.

The numbers are clear: the adult gerontology nurse practitioner salary is rising, the demand is skyrocketing, and the career outlook is as solid as it gets. But navigating the job market especially as a new grad or mid-career NP can still feel overwhelming.

That’s why it matters who’s in your corner.

At NPHire, we believe medical professionals like you deserve more than generic listings and broken application links. Y

You deserve a platform that understands your education, your scope of practice, and your desire to actually enjoy the work you do while earning what you’re worth.

So whether you're ready to step into geriatric care, lead family focused healthcare services, or build something new in private practice, we've got your back.

Create your free NPHire profile today, explore tailored AGNP job matches, and finally make your next move the one that fits.

Frequently Asked Questions

1. What is the average adult gerontology nurse practitioner salary in 2025?

As of 2025, the national median annual salary for AGNPs is $118,644, with top earners in states like Washington and New York making over $150,000. Salaries vary depending on location, certifications, and workplace setting.

2. How does AGNP salary compare to family nurse practitioner salary?

AGNPs may earn slightly more in acute care or geriatric health settings, while family nurse practitioners (FNPs)often earn more in primary care or urgent care roles. The primary differences depend on patient populations, care setting, and state regulations.

3. What healthcare settings pay AGNPs the most?

Hospitals, private practice, and long term care facilities tend to offer the highest AGNP salaries. Community health centers offer lower base pay but often include loan forgiveness and family focused care flexibility.

4. Can a new grad adult gerontology nurse make six figures?

Yes. In states with high demand or full practice authority, even new grads can start with salaries between $100,000 and $110,000, especially with strong clinical hours and rotations in high-acuity healthcare settings.

5. What’s the difference between AGPCNP and AGACNP?

AGPCNPs work in primary care settings, focusing on preventive care and long-term management. AGACNPspractice in acute care or hospital environments, managing critical and often unstable patients—and typically earn more.

6. How is NPHire different from other NP job boards?

NPHire is built exclusively for nurse practitioners—so you’re not sifting through irrelevant listings for RNs or physicians. Every job is tailored to your certification, specialty, and workplace setting, with full salary transparency and filters that actually work for AGNPs.

7. Does NPHire have jobs specifically for adult gerontology nurse practitioners?

Yes! NPHire features job listings across primary care, long term care facilities, community health centers, and geriatric health roles—all curated for adult gerontology nurse practitioners. You can filter by setting, salary, and state.

8. Can I find high-paying AGNP jobs on NPHire?

Definitely. You’ll see openings in top-paying states like Washington and New York, and each listing shows the median annual salary or exact range—so you know what to expect before you apply.

9. I’m a new grad AGNP—will I find jobs for me on NPHire?

Absolutely. NPHire tags listings as “new grad friendly” and helps connect you with employers open to hiring recent grads with fresh clinical hours, board certification, and specialized training in chronic conditions and preventive care.

10. Are there remote or flexible AGNP jobs on NPHire?

Yes—NPHire offers plenty of options for remote or hybrid roles, especially in chronic disease management, telehealth, and comprehensive care models that don’t require an in-person setting.

Key Definitions: Terms Every AGNP Should Know

• Adult Gerontology Nurse Practitioner (AGNP)
  A nurse practitioner who specializes in treating adult patients, from adolescence through older adults, focusing on managing acute and chronic illnesses, preventive care, and comprehensive treatment plans.
• AGPCNP-BC
  The Board Certified Adult-Gerontology Primary Care Nurse Practitioner credential, granted after passing a certification exam through the ANCC.
• AGACNP
  An AGNP who practices in acute care settings, managing critically ill or hospitalized patients, often in collaboration with other medical professionals.
• Healthcare Settings
  Locations where AGNPs treat patients, including private practice, primary care clinics, long term care facilities, community health centers, and hospitals.
• Chronic Conditions
  Long-term illnesses like diabetes, hypertension, or COPD that AGNPs manage through clinical management, ongoing diagnostic tests, and patient education.
• Advanced Health Assessment
  A core NP skill involving in-depth physical exams, history taking, and interpretation of findings to develop accurate treatment plans.
• Family Focused Healthcare Services
  An approach that considers the health of the patient in the context of their family and community, common in primary care and community health roles.
• National Council Licensure Examination (NCLEX)
  The licensure exam required for registered nurses (RNs); AGNPs take an additional national certification exam post-graduate education.
• Median Annual Salary
  The middle salary point of all reported earnings for AGNPs—half earn more, half earn less. Used to benchmark nursing practice compensation levels.

About the author

• NPHire Staff
  At NPHire, we’re here for nurse practitioners at every step of the job search. Our team is made up of experienced NPs, healthcare recruiters, job strategists, and former students who know firsthand how overwhelming the market can be. We work directly with nurse practitioners across the country to help them find the right roles faster, with less stress, and with more clarity about what they’re walking into. Whether you’re looking for your first job or your next big move, we’re in your corner.
• Last updated
  Jul 1, 2025
• Fact-checked by
  NPHire Nurse Practitioner Career Strategy Team
• Sources and references
  
  • https://www.ziprecruiter.com/Salaries/Geriatric-Nurse-Practitioner-Salary#:~:text=As%20of%20Jun%208%2C%202025,%2Fweek%20or%20%249%2C887%2Fmonth.
  • https://www.payscale.com/research/US/Job=Adult-Gerontology_Nurse_Practitioner_(AGNP)/Salary
  • https://www.ziprecruiter.com/Salaries/What-Is-the-Average-Gerontology-Nurse-Practitioner-Salary-by-State
  • https://johnsoncenter.org/blog/americas-population-is-rapidly-aging-can-philanthropy-keep-up/
  • https://www.nphire.com