How to Become a Nurse Practitioner in Winston-Salem, NC: Requirements & Salary for 2025

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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The nurse practitioner (NP) profession offers numerous advantages, including professional autonomy, competitive salaries, and job stability. In Winston-Salem, NC, the demand for NPs is growing rapidly due to the area's expanding healthcare sector, an aging population, and broader access to medical services.

The region's median NP salary surpasses the national average, highlighting the strong need for skilled professionals. Winston-Salem is home to several accredited nursing programs, providing ample opportunities for education and clinical experience.

In this article, I will explain the educational requirements, licensure process, career paths, salaries, and other key factors. My team and I have conducted extensive research to provide you with the insights needed to make informed decisions about becoming an NP in Winston-Salem.

Key Points to Know About Becoming a Nurse Practitioner in Winston-Salem, NC

• Winston-Salem offers a growing demand for nurse practitioners, driven by an expanding healthcare sector and aging population, ensuring strong job security and diverse clinical opportunities.
• The average annual salary for nurse practitioners in Winston-Salem is approximately $132,000, slightly above the national average, reflecting competitive compensation in the region.
• Winston-Salem’s access to top medical facilities and educational institutions makes it an ideal location for clinical training and career advancement in nurse practitioner roles.

Table of Contents

1. What are the educational requirements to become a nurse practitioner in Winston-Salem, NC?
2. Are there schools in Winston-Salem, NC that offer nurse practitioner programs?
3. What skills do you need to become a nurse practitioner in Winston-Salem, NC?
4. What are the requirements for a nurse practitioner in Winston-Salem, NC?
5. What is the licensing process for nurse practitioners in Winston-Salem, NC?
6. How long does it take to become a licensed nurse practitioner in Winston-Salem, NC?
7. Will a nurse practitioner license from Winston-Salem, NC allow you to work in other states?
8. How much do Winston-Salem, NC nurse practitioners earn?
9. Can additional administrative training enhance a nurse practitioner’s practice in Winston-Salem, NC?
10. Is there a demand for nurse practitioners in Winston-Salem, NC?
11. What ethical and legal guidelines should you observe as a nurse practitioner in Winston-Salem, NC?
12. How can nurse practitioners leverage interprofessional partnerships to advance patient care in Winston-Salem, NC?
13. Other Things to Know About Becoming a Nurse Practitioner in Winston-Salem, NC

What are the educational requirements to become a nurse practitioner in Winston-Salem, NC?

NP candidates in Winston-Salem, NC, must fulfill several key requirements to ensure clinical competence and eligibility for state licensure. These involve the following steps:

• Obtain a Registered Nurse (RN) license: This requires completing an accredited nursing program such as an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN), followed by passing the NCLEX-RN exam.
• Complete a graduate NP program: Enroll in and graduate from a nationally accredited nurse practitioner program at the master’s or post-master’s level. For example, MSN programs in Winston-Salem typically require approximately 51 credit hours and at least 672 clinical practicum hours.
• Accumulate supervised clinical practicum hours: These practicum hours serve as hands-on training essential for developing practical skills under supervision.
• Obtain national NP certification: Candidates must earn certification in their specialty area through recognized bodies like the American Association of Nurse Practitioners or the American Nurses Credentialing Center, which is mandatory before applying for state licensure.

These steps reflect the standard pathway similar in other states, with no additional unique academic prerequisites specific to North Carolina. Aspiring students should consider accredited nurse practitioner programs Winston-Salem North Carolina offers to fulfill these requirements efficiently.

For those curious about the overall timeline, resources explaining how many years to become a family nurse practitioner provide detailed guidance on the duration and stages involved in this career path.

The data below shows that the vast majority of nurse practitioners (79%) major in nursing, followed by smaller percentages in family practice nursing (7%) and nursing science (3%). Other majors, such as biology and various specialized fields, make up a small portion of NP education. This distribution emphasizes that nursing remains the dominant academic pathway for aspiring nurse practitioners.

Are there schools in Winston-Salem, NC that offer nurse practitioner programs?

Prospective students interested in nurse practitioner programs in Winston-Salem, NC have access to reputable academic options designed for advanced nursing practice. They are:

• Winston-Salem State University (WSSU). The school offers a fully online Master of Science in Nursing (MSN) with a Family Nurse Practitioner (FNP) concentration. This program requires 51 credit hours and 672 practicum hours and is typically completed in two years full-time or three years part-time. Graduates become eligible for national FNP certification, with a curriculum focused on care for underserved populations. WSSU also provides a post-master’s FNP certificate for nurses holding an MSN, along with a Doctor of Nursing Practice (DNP) with an FNP track that includes at least 1,182 clinical hours.

• Wake Forest University School of Medicine. The school offers a Doctor of Nursing Practice (DNP) program, which requires a master’s degree in nursing for admission. The program emphasizes clinical leadership and evidence-based practice to prepare graduates for high-level healthcare roles.

Tuition rates vary annually, but WSSU is known for its comparatively low tuition among public universities in the region. Financial aid options include grants and loan programs targeted at nurse educator roles. Both institutions maintain accreditation and align their programs with the healthcare needs of the city, supporting efforts to address regional and national shortages of advanced practice nurses.

For those seeking the requirements to become a adult gerontology nurse practitioner, online resources provide valuable guidance.

What skills do you need to become a nurse practitioner in Winston-Salem, NC?

To thrive as a nurse practitioner in Winston-Salem, NC, candidates must develop a well-rounded skill set that balances clinical expertise with interpersonal capabilities. Key skills required include:

• Diagnostic Proficiency: Ability to perform and interpret various diagnostic tests accurately to support effective patient evaluation and treatment planning.
• Comprehensive Patient Documentation: Skilled in collecting detailed medical histories and symptom descriptions to maintain thorough and continuous patient records.
• Medical Equipment Operation: Competence in managing advanced medical devices commonly used in clinical environments to monitor and assist patient care.
• Medication and Treatment Management: Up-to-date knowledge in prescribing and administering pharmacological therapies and interventions safely and effectively.
• Care Plan Development: Experience in creating and overseeing individualized patient care strategies, often working collaboratively with physicians and other healthcare professionals.
• Critical Thinking: Ability to quickly identify clinical issues and devise practical solutions in complex care situations.
• Communication Skills: Strong aptitude for educating patients and coordinating with multidisciplinary teams to ensure cohesive care delivery.

Employers in Winston-Salem, including major healthcare systems like Novant Health, typically seek nurse practitioners with one to three years of clinical experience, emphasizing the importance of practical, hands-on proficiency in these skill areas.

What are the requirements for a nurse practitioner in Winston-Salem, NC?

Nurse practitioners seeking licensure in Winston-Salem, NC must fulfill several key requirements to practice legally and competently. These steps ensure adherence to the statewide standards set by the North Carolina Board of Nursing and maintain high professional standards.

• Active Registered Nurse License: Applicants must hold an active, permanent North Carolina Registered Nurse (RN) license or a multistate RN license recognized by North Carolina.
• NP Registration and Approval: Completion of the Nurse Practitioner Registration and Initial Approval to Practice application online is required. Importantly, registration alone does not grant practice authority; final approval must be obtained before beginning work as an NP in Winston-Salem.
• National Certification Exam: Passing a national certification exam relevant to the NP’s specialty is mandatory. Common certifying bodies include the American Association of Nurse Practitioners (AANP) and the American Nurses Credentialing Center (ANCC).
• Criminal Background Check: A thorough background check with electronic fingerprinting via Live Scan centers is required, processed at the state level to ensure safety and compliance.
• Continuing Education: Maintaining licensure requires fulfilling annual continuing education requirements as specified by the North Carolina Board of Nursing, helping NPs stay current with evolving medical standards.

Unlike some states, North Carolina does not issue temporary permits to nurse practitioner candidates awaiting exam results or approval, which can affect the timeline for starting practice. Those exploring the steps to become a licensed nurse practitioner in Winston-Salem should also consider enrolling in the best accelerated nurse practitioner online programs to efficiently meet educational requirements.

What is the licensing process for nurse practitioners in Winston-Salem, NC?

The licensing procedure for nurse practitioners involves several essential steps to ensure compliance and readiness for clinical practice:

• Application Submission: Candidates must submit an online NP registration form through the Board’s portal, which is mandatory even for those previously licensed as NPs within the state.
• Criminal Background Check: A fingerprint-based background screening is required, verified by state and federal authorities, accompanied by a processing fee.
• National Certification: Proof of certification from recognized bodies such as the American Association of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC) is mandatory prior to approval.
• Approval Notification: Applicants receive confirmation of application receipt via email, with final licensing approval delivered by mail, typically within three weeks.

Licensure approval must be obtained before nurse practitioners can legally engage in patient care; registration alone does not authorize clinical practice. Maintaining licensure demands ongoing adherence to continuing education and practice standards as outlined by the Board.

How long does it take to become a licensed nurse practitioner in Winston-Salem, NC?

The pathway to becoming a licensed nurse practitioner (NP) in Winston-Salem, NC, involves multiple stages that can take between six and eight years, depending on prior education and study pace. Here's an overview of the timeline:

• Bachelor of Science in Nursing (BSN): Typically a four-year full-time program that prepares students for RN licensure.
• Master of Science in Nursing (MSN) – Family Nurse Practitioner (FNP): Offered at Winston-Salem State University, this program requires 51 credit hours and 672 practicum hours. Full-time students usually complete it in two years, while part-time students may take three years.
• Certification and Licensure: After graduation, candidates must obtain national certification in their specialty, which involves several months of preparation and examination. Following certification, applying for North Carolina state licensure adds additional weeks to the process.

Prospective students interested in exploring options can refer to the list of best online BSN to FNP programs for alternative pathways that may fit different schedules or preferences.

Will a nurse practitioner license from Winston-Salem, NC allow you to work in other states?

A nurse practitioner (NP) license issued in Winston-Salem, North Carolina, is not transferable for practice in other states by default. While North Carolina participates in the Nurse Licensure Compact (NLC), this agreement only applies to registered nurse (RN) licenses and excludes advanced practice roles like NPs.

Consequently, NPs seeking to work outside North Carolina must pursue licensure by endorsement in the state where they intend to practice. This process generally involves:

• Submitting official transcripts and documentation of national NP certification
• Providing verification of an active, unrestricted NP license
• Meeting additional state-specific requirements, such as background checks or mandated continuing education

Each state maintains its own licensing standards and processes, so it is essential for NPs to thoroughly review the regulations of the target state prior to relocating or accepting remote clinical roles. This ensures compliance with all necessary legal and professional criteria for practice outside North Carolina.

The data below shows that a significant majority of nurse practitioners (78%) work full-time, while 22% are employed part-time. This highlights the strong demand for NPs in full-time roles across various healthcare settings. The high percentage of full-time workers may indicate the need for consistent care and the growing reliance on nurse practitioners in primary and specialized care.

How much do Winston-Salem, NC nurse practitioners earn?

Nurse practitioners working in Winston-Salem, NC, receive competitive compensation, with a median annual salary of $132,790. Several factors contribute to salary differences among nurse practitioners in this region:

• Experience: Those starting out tend to earn near the lower salary range, whereas practitioners with extensive experience, certifications, or leadership roles may earn salaries approaching or exceeding $130,000 annually.
• Specialization: Higher pay is common for nurse practitioners in specialized fields such as acute care, psychiatric/mental health, or anesthesia (CRNA), compared to general primary care providers.
• Cost of Living: Winston-Salem’s cost of living is roughly 11% below the national average, effectively increasing the local purchasing power of nurse practitioners’ salaries.

These data points highlight the strong earning potential for nurse practitioners in Winston-Salem, particularly when experience and specialization are taken into account.

Can additional administrative training enhance a nurse practitioner’s practice in Winston-Salem, NC?

Nurse practitioners may gain a competitive edge by integrating administrative competencies into their clinical practice. Acquiring skills in healthcare administration not only streamlines practice operations but also improves collaboration with billing and coding teams, leading to more efficient revenue cycle management. For example, pursuing a medical biller and coder certification in Winston Salem can provide insights that support better documentation, claim processing, and compliance with reimbursement guidelines while bolstering overall patient care coordination.

Is there a demand for nurse practitioners in Winston-Salem, NC?

There is a significant demand for nurse practitioners in Winston-Salem, NC, reflecting broader statewide and national trends. Job postings reveal over 100 openings in primary care, inpatient, critical care, and specialty settings, targeting both experienced providers and new graduates. This demand is driven by shortages of registered nurses and physicians, prompting healthcare systems to increasingly depend on nurse practitioners to fill patient care gaps, especially in metropolitan areas like Winston-Salem.

The nurse practitioner job outlook in the city remains strong, with projections indicating ongoing need for both generalist and specialist NPs. Fields such as family medicine, internal medicine, and psychiatric care are especially in demand due to heightened shortages and growing patient needs. North Carolina’s shift toward NP-led care models and a predicted shortfall of thousands of nurses by 2033 further support robust employment opportunities for nurse practitioners in the region.

For those seeking to enter this growing profession, exploring a list of cheapest online RN to FNP degree programs can offer cost-effective pathways to meet the increasing demand for nurse practitioners in Winston-Salem NC.

What ethical and legal guidelines should you observe as a nurse practitioner in Winston-Salem, NC?

Nurse practitioners (NPs) working in Winston-Salem, NC, must comply with state-specific legal requirements and ethical standards overseen by the North Carolina Board of Nursing (NCBON) and the North Carolina Medical Board. These regulations are grounded in the North Carolina Nursing Practice Act and related administrative codes, ensuring NPs deliver care within defined professional boundaries.

Key legal and ethical responsibilities for NPs include:

• Approval to Practice: NPs must secure formal authorization from the NCBON before commencing practice. This process requires submitting an application and establishing a collaborative agreement with a supervising physician, reflecting North Carolina’s Reduced Practice model.
• Scope of Practice: NPs are empowered to perform patient evaluations, diagnose medical conditions, and prescribe medications—including controlled substances—but only within the limits set by their collaborative agreement. Supervising physicians are obligated to review at least 10% of patient charts and be accessible for consultation.
• Professional Conduct and Competence: Maintaining high standards of care is mandatory. NPs must avoid unprofessional behavior, prevent any harm through negligence or intentional acts, uphold patient confidentiality, and engage in continuous professional development.
• Legal Consequences: Failure to comply with regulations, such as practicing without approval, neglecting collaborative agreements, or criminal convictions, can lead to disciplinary measures, including license suspension or revocation.

What do licensed nurse practitioners in Winston-Salem, NC say about their careers?

• "Completing my nurse practitioner program at Wake Forest School of Medicine was a transformative experience that prepared me well for the diverse healthcare needs of Winston-Salem. Starting my career in a local hospital allowed me to build strong connections with patients and understand the unique health challenges our community faces. The city’s blend of urban and rural populations means every day brings new learning opportunities and a chance to make a meaningful impact. I feel deeply fulfilled knowing my work contributes to the well-being of families right here in my hometown." -Jericho
• "Graduating from Winston-Salem State University’s nurse practitioner program gave me the foundation I needed to thrive in this vibrant city. Beginning my practice in a local healthcare facility, I quickly realized how much Winston-Salem values compassionate care and community health initiatives. The supportive professional networks here have helped me grow not only clinically but also as a leader in public health outreach. I am passionate about serving a community that embraces diversity and offers numerous opportunities for career advancement." - Mandy
• "My journey as a nurse practitioner started after finishing the program at Forsyth Technical Community College, which was perfectly suited for balancing my education with family life. Working in a local hospital exposed me to the complex health needs of Winston-Salem’s residents, which challenged me to develop both my skills and empathy. The city’s rich cultural heritage and commitment to health equity inspire me every day to provide the best care possible. Professionally, I appreciate the stability and growth potential that Winston-Salem’s healthcare environment offers." - Sanjeev

How can nurse practitioners leverage interprofessional partnerships to advance patient care in Winston-Salem, NC?

Effective interprofessional collaboration is essential for enhancing patient outcomes and supporting professional development. In Winston-Salem, NC, nurse practitioners can optimize care delivery by partnering with diverse healthcare professionals, including specialists and pharmacists. Working alongside experts—such as those who guide you on how to become a pharmacist in Winston, Salem—enables shared decision-making and a comprehensive approach to medication management. This collaborative model not only broadens clinical perspectives but also provides access to mentorship and innovative practices, ultimately strengthening both patient care and career advancement.

Other Things to Know About Becoming a Nurse Practitioner in Winston-Salem, NC

What is the fastest way to become a nurse practitioner in Winston-Salem, NC?

The fastest way to become a nurse practitioner in Winston-Salem, NC, is by enrolling in an accelerated MSN or DNP program, which can take about 2 to 3 years. Wake Forest University offers these accelerated tracks. Clinical placements are included to provide hands-on experience, and with the growing demand for NPs, these programs are an efficient route.

What certifications are required after finishing nurse practitioner programs?

After completing an NP program, you need national certification through organizations like the ANCC or AANP. You must pass a specialty-specific exam to earn certification. This certification, along with state licensure from the North Carolina Board of Nursing, is required to practice as a nurse practitioner.

Can a foreigner work as a nurse practitioner in the USA?

Yes, a foreigner can work as a nurse practitioner in Winston-Salem, NC, but specific conditions apply. Internationally educated nurses must first obtain NC licensure, which requires credential evaluation, passing the NCLEX-RN exam, and meeting English proficiency standards.

Additionally, to practice as a nurse practitioner, candidates need national certification in their specialty area and a master's or doctoral degree from an accredited program. The North Carolina Board of Nursing enforces these requirements strictly, ensuring all NPs meet state standards. 

In which healthcare settings do most nurse practitioners work in the USA?

Nurse practitioners in Winston-Salem, NC, primarily work in primary care clinics, hospitals (including emergency and ICU), specialty outpatient clinics, long-term care, and rehabilitation facilities. They also work in community health centers, where they serve underserved populations with preventative care and health education.

References:

• American Association of Nurse Practitioners. (n.d.). Standards of practice for nurse practitioners. https://www.aanp.org/advocacy/advocacy-resource/position-statements/standards-of-practice-for-nurse-practitioners

• Atrium Health Wake Forest Baptist. (n.d.). Advance care planning. https://www.wakehealth.edu/patient-and-family-resources/safety-information-and-patient-rights/advance-care-planning

• Incredible Health. (n.d.). How to transfer a nursing license to another state. https://www.incrediblehealth.com/blog/transfer-nursing-license/

• NC Careers. (n.d.). Occupation profile. https://nccareers.org/occupation-profile/291171/1367

• North Carolina Board of Nursing. (n.d.). Nurse practitioner. https://www.ncbon.com/nurse-practitioner

• Winston-Salem State University. (n.d.). Program: Nursing - MSN. Modern Campus Catalog™. https://catalog.wssu.edu/preview_program.php