Healthcare Recruiting
Washington NP License 2026: Full Practice Authority, DOH NCQAC Process, Salary
Washington state nurse practitioners (ARNP — Advanced Registered Nurse Practitioner) have had full practice authority since 2017. No physician collaboration, supervision, or agreement is required at any stage. Average ARNP salary in Washington is $120,000/year in 2026, with Seattle metro reaching $130,000–$145,000 for specialty ARNPs.
Washington ARNP Practice Authority
Washington is a full practice authority state. ARNPs may independently diagnose, treat, and prescribe (including Schedule II–V) without any physician involvement. This is one of the most NP-friendly licensing environments in the US.
ARNP Application Requirements
- Active Washington RN license
- Graduation from CCNE or ACEN-accredited NP program (master's or doctorate)
- National certification from ANCC, AANP, NCC, PNCB, or other DOH-approved body
- ARNP application fee: $110
- Online application through SecureAccess Washington (SAW)
Processing Timeline
Washington DOH NCQAC ARNP applications typically process in 6–10 weeks.
NP Salary in Washington (2026)
| City / Region | Avg Annual Salary |
|---|---|
| Seattle | $138,000 |
| Bellevue / Eastside | $135,000 |
| Tacoma | $122,000 |
| Spokane | $112,000 |
| Vancouver (WA) | $118,000 |
| Yakima / Eastern WA | $107,000 |
Top WA Health Systems for ARNPs
- UW Medicine — Seattle academic flagship; top specialty ARNP pay
- Providence Health & Services Pacific Northwest — statewide; strong primary care APP hiring
- MultiCare Health System — Tacoma; south Puget Sound region
- Virginia Mason Franciscan Health — Seattle; strong procedural NP programs
- Kaiser Permanente Washington — integrated model; competitive salary + benefits
What We See at Ava Health
Washington's full practice authority and top compensation make it one of the most competitive NP markets nationally. FNP and PMHNP (psychiatric-mental health NP) candidates are especially in demand. Eastern Washington has rural shortages with NHSC loan repayment eligibility.
Related: NP License California 2026, NP License Colorado 2026, RN Salary Washington 2026.
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