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Quick Answer
The best states for PMHNPs in 2026 combine Full Practice Authority (FPA) with high salaries. Washington, Oregon, and Arizona consistently rank at the top. While California offers the highest raw salary ($185k+), its high cost of living and restricted practice laws make it less attractive for some.
Where you practice defines your career. A PMHNP in Washington earns $160,000 with full autonomy, while a PMHNP in Florida might earn $120,000 and requires strict physician oversight.
Based on data from PMHNP Hiring, here is the definitive ranking of the best states for PMHNPs in 2026.
Top 10 States by Salary (Raw)
If maximizing your W2 income is the goal, the West Coast and Northeast dominate.
- California: $185,000 avg (Top earners >$220k)
- New Jersey: $170,000 avg
- New York: $168,000 avg
- Washington: $165,000 avg
- Massachusetts: $162,000 avg
- Oregon: $158,000 avg
- Arizona: $155,000 avg
- Connecticut: $152,000 avg
- Minnesota: $150,000 avg
- Nevada: $148,000 avg
Top 10 States by Job Demand
Where are the most open jobs right now?
- Texas: Huge population growth + mental health shortage.
- Florida: Aging population needs geriatric psych.
- California: Massive public health system needs.
- Ohio: High demand in rural/addiction medicine.
- Georgia: Rapidly growing metro areas (Atlanta).
The "Golden Trinity": High Pay + Low COL + FPA
The real "best" state isn't just about the highest paycheck; it's about what you keep.
1. Washington State
- Salary: High ($165k)
- Authority: Full Practice Authority (FPA)
- Tax: No State Income Tax
- Verdict: The #1 destination for PMHNPs.
2. Arizona
- Salary: High ($155k)
- Authority: FPA
- COL: Moderate (though rising in Phoenix)
- Verdict: Excellent for private practice entrepreneurs.
3. Nevada
- Salary: High ($148k)
- Authority: FPA
- Tax: No State Income Tax
- Verdict: High demand in Las Vegas and Reno.
Understanding Practice Authority
Your ability to open a private practice or work independently depends on state law.
Full Practice Authority (Green States)
You are independent. WA, OR, NV, AZ, NM, CO, WY, MT, ID, ND, SD, MN, IA, NE, KS, UT, ME, NH, VT, MA, RI, CT, NY, MD, DE, VA (after 5 yrs).
Reduced/Restricted Practice (Red States)
You need a physician collaborator. CA, TX, FL, GA, NC, SC, TN, AL, MS, MO, OK, MI, PA, OH.
Note: Even in restricted states, large hospital systems often provide the collaborator for you.
Where Should You Move?
- For maximum earnings: Go to California or New York (but beware of taxes).
- For independence: Go to Washington or Arizona.
- For low cost of living: Consider Iowa or Nebraska (high relative pay vs. cheap housing).
Ready to browse listings in your target state? Select a Location to see all open PMHNP jobs.