National totals
| Active NPI records | 92,754 |
| Registered sole proprietors | 13,820 (14.9%) |
| NUCC taxonomy code | 363L00000X |
| Grouping | Physician 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
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| Florida | 8,797 | 2,161 | 24.6% |
| California | 7,079 | 1,606 | 22.7% |
| Texas | 5,262 | 992 | 18.9% |
| North Carolina | 4,039 | 355 | 8.8% |
| Illinois | 4,017 | 567 | 14.1% |
| Ohio | 3,915 | 609 | 15.6% |
| Pennsylvania | 3,665 | 362 | 9.9% |
| Wisconsin | 3,406 | 203 | 6.0% |
| Michigan | 3,350 | 428 | 12.8% |
| Massachusetts | 3,210 | 447 | 13.9% |
| New York | 3,048 | 630 | 20.7% |
| Georgia | 2,849 | 442 | 15.5% |
| Tennessee | 2,545 | 327 | 12.8% |
| Indiana | 2,524 | 192 | 7.6% |
| Kentucky | 2,336 | 232 | 9.9% |
| Minnesota | 2,281 | 131 | 5.7% |
| Washington | 2,213 | 280 | 12.7% |
| New Jersey | 1,817 | 411 | 22.6% |
| Virginia | 1,753 | 232 | 13.2% |
| Missouri | 1,659 | 156 | 9.4% |
| Maryland | 1,400 | 225 | 16.1% |
| Alabama | 1,395 | 171 | 12.3% |
| Arizona | 1,392 | 247 | 17.7% |
| Colorado | 1,299 | 163 | 12.5% |
| Iowa | 1,278 | 95 | 7.4% |
| Kansas | 1,259 | 108 | 8.6% |
| South Carolina | 1,259 | 144 | 11.4% |
| Mississippi | 1,219 | 198 | 16.2% |
| Connecticut | 1,061 | 123 | 11.6% |
| Louisiana | 1,045 | 166 | 15.9% |
| Nevada | 942 | 174 | 18.5% |
| Utah | 937 | 178 | 19.0% |
| Nebraska | 847 | 61 | 7.2% |
| Arkansas | 738 | 114 | 15.4% |
| Oklahoma | 678 | 98 | 14.5% |
| Oregon | 625 | 95 | 15.2% |
| Idaho | 590 | 91 | 15.4% |
| West Virginia | 582 | 78 | 13.4% |
| New Mexico | 522 | 93 | 17.8% |
| Delaware | 487 | 45 | 9.2% |
| Maine | 473 | 30 | 6.3% |
| South Dakota | 461 | 26 | 5.6% |
| New Hampshire | 453 | 45 | 9.9% |
| North Dakota | 409 | 33 | 8.1% |
| Rhode Island | 391 | 47 | 12.0% |
| Montana | 307 | 57 | 18.6% |
| District of Columbia | 256 | 41 | 16.0% |
| Hawaii | 218 | 41 | 18.8% |
| Alaska | 156 | 27 | 17.3% |
| Vermont | 142 | 11 | 7.7% |
| Wyoming | 117 | 15 | 12.8% |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2017 | 4,406 |
| 2018 | 4,977 |
| 2019 | 5,389 |
| 2020 | 4,873 |
| 2021 | 5,452 |
| 2022 | 4,868 |
| 2023 | 4,823 |
| 2024 | 4,322 |
| 2025 | 4,468 |
| 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
- The sole-proprietor field is self-reported by the provider in NPPES and is an imperfect proxy for private practice.
- A sole-proprietor count shown as <11 is suppressed: the true value is below 11, which could include zero.
- These counts include records with Nurse Practitioner as the primary taxonomy and may not represent unique clinicians.
- An NPI record does not by itself confirm current clinical activity, employment status, or practice ownership.
- NPI enumeration year reflects record creation and not necessarily the start or continuation of clinical practice.
- Providers are counted once, by their primary taxonomy code only.
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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