Physician Assistant vs. Nurse Practitioner vs. Registered Nurse

Common clinical career paths that differ in training length, licensing, and pay.

Short answer: Physician assistants have the highest national median wage of the group at $135,880 (May 2025). Nurse practitioners are projected to grow fastest, +41.0% from 2025 to 2035. Physician assistants typically enter with master's degree; Nurse practitioners typically enter with master's degree; Registered nurses typically enter with bachelor's degree.

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$0$50K$100K$150KPhysician assistants$135,880Nurse practitioners$132,300Registered nurses$97,550
National annual wage distributions, May 2025. Physician assistants: median $135,880; Nurse practitioners: median $132,300; Registered nurses: median $97,550. The bar spans the 25th to 75th percentile, the thin line spans the 10th to 90th percentile, and the red mark is the median.
MeasurePhysician assistantsNurse practitionersRegistered nurses
Median annual wage (May 2025)$135,880$132,300$97,550
10th percentile wage$99,380$101,340$68,940
90th percentile wage$190,280$174,420$137,470
Employment (May 2025)162,150323,0403,379,720
Projected change, 2025 to 2035+21.1%+41.0%+5.6%
Openings per year11,50029,400180,800
Typical entry educationMaster's degreeMaster's degreeBachelor's degree
Related work experienceNoneNoneNone
On-the-job trainingNoneNoneNone
O*NET Job Zone (1 to 5)554
Self-employed share1.4%1.6%0.5%
Top skillsReading Comprehension, Critical Thinking, Active Listening, WritingReading Comprehension, Active Listening, Critical Thinking, WritingActive Listening, Speaking, Critical Thinking, Reading Comprehension
Licenses and certifications in our libraryCT-PHYSICIAN-ASSISTANT, PANCENone listedCT-REGISTERED-NURSE, NCLEX-RN

Wages Verified data describe all workers in each occupation, not starting pay. Growth and openings are Official projection. Highlighted cells mark the highest median wage and fastest projected growth.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, National. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.
Source: U.S. Bureau of Labor Statistics, Employment Projections, Table 1.2: Occupational projections, 2025-35, and worker characteristics, 2025. Base year 2025, projected year 2035. Published August 27, 2026. Retrieved October 18, 2026. Methodology.
Source: National Center for O*NET Development for USDOL/ETA, O*NET 31.0 Database (August 2026 release). Database release 31.0, August 2026; element dates vary by occupation. Published August 25, 2026. Retrieved October 18, 2026. Methodology.