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Nurse Practitioner: how many are there, and how many are in private practice?

Nurse practitioners are registered nurses with graduate or additional advanced-practice training who provide clinical and, where permitted, primary care services under applicable state practice laws. This page reports the national number of active NPI records with Nurse Practitioner as the primary NUCC taxonomy, the number flagged as sole proprietors, and the states with the largest counts.

National totals

Active NPI records92,754
Registered sole proprietors13,820 (14.9%)
NUCC taxonomy code363L00000X
GroupingPhysician Assistants & Advanced Practice Nursing Providers

What this specialty covers

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Reading the sole-proprietor share

For Nurse Practitioners, the sole-proprietor share indicates how many records have the NPPES sole-proprietor flag, not how many clinicians operate independent practices. Because the field is self-reported and an NPI may represent a person or organization, this share is an imperfect proxy for private practice and should not be read as a measure of employment status, clinical independence, or ownership.

By state

StateActive NPIsSole proprietorsShare
Florida8,7972,16124.6%
California7,0791,60622.7%
Texas5,26299218.9%
North Carolina4,0393558.8%
Illinois4,01756714.1%
Ohio3,91560915.6%
Pennsylvania3,6653629.9%
Wisconsin3,4062036.0%
Michigan3,35042812.8%
Massachusetts3,21044713.9%
New York3,04863020.7%
Georgia2,84944215.5%
Tennessee2,54532712.8%
Indiana2,5241927.6%
Kentucky2,3362329.9%
Minnesota2,2811315.7%
Washington2,21328012.7%
New Jersey1,81741122.6%
Virginia1,75323213.2%
Missouri1,6591569.4%
Maryland1,40022516.1%
Alabama1,39517112.3%
Arizona1,39224717.7%
Colorado1,29916312.5%
Iowa1,278957.4%
Kansas1,2591088.6%
South Carolina1,25914411.4%
Mississippi1,21919816.2%
Connecticut1,06112311.6%
Louisiana1,04516615.9%
Nevada94217418.5%
Utah93717819.0%
Nebraska847617.2%
Arkansas73811415.4%
Oklahoma6789814.5%
Oregon6259515.2%
Idaho5909115.4%
West Virginia5827813.4%
New Mexico5229317.8%
Delaware487459.2%
Maine473306.3%
South Dakota461265.6%
New Hampshire453459.9%
North Dakota409338.1%
Rhode Island3914712.0%
Montana3075718.6%
District of Columbia2564116.0%
Hawaii2184118.8%
Alaska1562717.3%
Vermont142117.7%
Wyoming1171512.8%

New NPI registrations by year

Year first enumeratedNPIs
20174,406
20184,977
20195,389
20204,873
20215,452
20224,868
20234,823
20244,322
20254,468
2026 (partial year)105

Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.

Data notes

Source: CMS National Plan and Provider Enumeration System (NPPES) Data Dissemination file, FOIA-disclosable public data under CMS-6060-N. Aggregated by Hero EMR on 2026-08-03; deactivated NPIs excluded; specialty assigned from the primary taxonomy code (NUCC 25.1). Counts below 11 are suppressed. Individual providers are never published. All provider data pages.

Common questions

How many nurse practitioners are there in the United States?

There are 92,754 active NPI records nationally with Nurse Practitioner as the primary taxonomy. This is an NPI-record count, not necessarily a count of unique practicing clinicians.

How many nurse practitioners are registered as sole proprietors?

NPPES flags 13,820 records as sole proprietors, or 14.9% of the active records in this specialty. The flag is a self-reported field and is not a direct measure of private-practice ownership.

Which states have the most nurse practitioner NPI records?

The largest state counts are Florida with 8,797, California with 7,079, Texas with 5,262, North Carolina with 4,039, and Illinois with 4,017.

How many nurse practitioner NPIs were first enumerated in recent years?

The reported counts are 4,322 in 2024, 4,468 in 2025, and 105 in 2026. Enumeration indicates when an NPI was first issued, not necessarily when practice began.

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