WeekdayDoc Hiring Index · Nurse Practitioners

Nurse Practitioner hiring index, September 2026: the specialties most in demand

Emergency Medicine was the tightest nurse practitioner specialty in September 2026: postings stayed open a median 48 days and 33% stated a sign-on bonus. Measured from live job postings across 50+ sources — share of openings in a fixed source panel, how long postings stay open, how often a sign-on bonus is stated, and job-seeker interest per opening on WeekdayDoc. 17 of 333 nurse practitioner specialties had enough postings and employers to be ranked.

Tightest specialty

Emergency Medicine

highest combined score across share change, seeker interest, time to close and sign-on prevalence

Median days a posting stays open

36

across 17 ranked specialties; postings opened 60–150 days earlier that have since closed

Postings stating a sign-on bonus

10%

median across ranked specialties, this month's postings in the source panel

What changed in September 2026

  • Tightest: Emergency Medicine, Family Medicine, Geriatrics, Wound Care, Surgery.
  • Share movers: Psychiatry +3.6 pts; Family Medicine +3.1 pts; Urgent Care -1.4 pts; Geriatrics +1.0 pts; Primary Care -0.9 pts.
  • Slowest to fill: Emergency Medicine (48 days), Cardiology (47 days), Surgery (43 days); median 36 days.
  • Sign-on bonuses most common: Urgent Care (36%), Emergency Medicine (33%), Geriatrics (27%); median 10%.
  • Loosest (most seeker competition on WeekdayDoc): Addiction Medicine, Hospice and Palliative Medicine, Primary Care.

All ranked nurse practitioner specialties

Tightness is the average z-score of share change, seeker interest (inverted), days to close and sign-on prevalence. Interest: 1.0 = the nurse practitioner average on WeekdayDoc. Pay drift: advertised max on re-posted roles, one vote per employer.

SpecialtyRankPostingsSharevs prior 3 moInterestDays to closeSign-onPay drift
Emergency Medicine1671.3%-0.1 pts0.9×4833%—
Family Medicine21,01718.0%+3.1 pts1.0×3722%0.0%
Geriatrics32264.6%+0.9 pts0.9×3627%0.0%
Wound Care4721.5%0.0 pts0.7×3724%—
Surgery51031.9%-0.3 pts0.6×437%+1.6%
Psychiatry698317.8%+3.6 pts1.5×3616%0.0%
Hospital Medicine7861.5%-0.8 pts0.7×427%—
Pediatrics81022.4%+0.3 pts1.0×395%—
Internal Medicine9621.4%-0.6 pts1.0×3914%—
Nurse Midwifery101352.8%+0.0 pts0.9×—9%+1.2%
Cardiology111132.3%-0.3 pts1.2×474%0.0%
Urgent Care123404.0%-1.4 pts1.1×3136%0.0%
Palliative Care131061.6%-0.0 pts0.8×347%—
Oncology14991.8%-0.4 pts0.8×365%—
Primary Care154147.2%-0.9 pts0.9×2914%0.0%
Hospice and Palliative Medicine16801.5%-0.2 pts1.2×310%—
Addiction Medicine17942.3%+0.0 pts1.7×3110%—

316 further specialties had too few postings or employers to rank. Download this table as CSV.

Charts

Tightness score — top 12 nurse practitioner specialties, September 2026Tightness score — top 12 nurse practitioner specialties, September 2026Emergency Medicine0.96Family Medicine0.71Geriatrics0.46Wound Care0.43Surgery0.39Psychiatry0.22Hospital Medicine0.14Pediatrics-0.07Internal Medicine-0.08Nurse Midwifery-0.08Cardiology-0.10Urgent Care-0.15
Share of nurse practitioner openings vs the prior 3 months (percentage points)Share of nurse practitioner openings vs the prior 3 months (percentage points)Psychiatry+3.6 ptsFamily Medicine+3.1 ptsGeriatrics+0.9 ptsCardiology-0.3 ptsOncology-0.4 ptsInternal Medicine-0.6 ptsHospital Medicine-0.8 ptsPrimary Care-0.9 ptsUrgent Care-1.4 pts
Median days a posting stays open (postings opened 60–150 days earlier)Median days a posting stays open (postings opened 60–150 days earlier)Emergency Medicine48 daysCardiology47 daysSurgery43 daysHospital Medicine42 daysPediatrics39 daysInternal Medicine39 daysFamily Medicine37 daysWound Care37 daysGeriatrics36 daysPsychiatry36 daysOncology36 daysPalliative Care34 days

Questions this issue answers

Which nurse practitioner specialties were most in demand in September 2026?

Ranked by WeekdayDoc's tightness score (share change, seeker interest per opening, days to close and sign-on prevalence), the tightest nurse practitioner specialties in September 2026 were 1. Emergency Medicine, 2. Family Medicine, 3. Geriatrics, 4. Wound Care, 5. Surgery. 17 specialties had enough postings (60+) from enough employers (12+) to be ranked.

Which nurse practitioner jobs take longest to fill?

Among nurse practitioner postings opened 60–150 days earlier that have since closed, the longest median time open in September 2026 was Emergency Medicine (48 days), Cardiology (47 days), Surgery (43 days), Hospital Medicine (42 days), Internal Medicine (39 days). The median across ranked specialties was 36 days.

Which nurse practitioner specialties offer sign-on bonuses most often?

In September 2026, the share of postings stating a sign-on bonus was highest for Urgent Care (36%), Emergency Medicine (33%), Geriatrics (27%), Wound Care (24%), Family Medicine (22%); the median ranked specialty was 10%. "Stated" means the posting mentions a bonus; many do not give the amount.

Which nurse practitioner specialties are growing or shrinking as a share of postings?

Measured inside a fixed panel of job sources, with each source weighted equally and counting distinct openings rather than duplicate listings, the largest moves in September 2026 versus the prior three-month average were Psychiatry +3.6 pts, Family Medicine +3.1 pts, Urgent Care -1.4 pts, Geriatrics +1.0 pts, Primary Care -0.9 pts. Shares, not raw counts, are used because the number of listings WeekdayDoc collects changes with its coverage.

Which nurse practitioner specialties had the most competition from other job seekers?

The loosest nurse practitioner markets in September 2026 were Addiction Medicine, Hospice and Palliative Medicine, Primary Care: more job seekers per opening on WeekdayDoc, faster closes and fewer sign-on bonuses. Seeker interest reflects WeekdayDoc's own audience and is reported only when clearly above or below the nurse practitioner average.

Is advertised nurse practitioner pay rising?

WeekdayDoc compares re-posted roles (same employer, specialty and title, at least 60 days apart), one vote per employer. In September 2026, of 8 specialties with enough re-posts, 8 showed an unchanged advertised maximum and 0 showed an increase of 2% or more. Employers re-posting a role mostly advertise the same range.

How is the WeekdayDoc Hiring Index calculated?

From live job postings on WeekdayDoc (about 145,000 across 50+ sources). Share of openings is measured inside a fixed panel of sources present in every month of the window, each source weighted equally (capped), counting distinct openings (employer + title + state). Days to close uses postings opened 60–150 days earlier that have closed. Sign-on prevalence is the share of this month's postings stating a bonus. Seeker interest is job views per live posting relative to the profession average on WeekdayDoc. Specialties need 60+ postings from 12+ employers to be ranked. Full method: https://www.weekdaydoc.com/hiring-index/methodology.

How should I cite this?

"WeekdayDoc Hiring Index, Nurse Practitioners, September 2026" with a link to this page. Figures on a published issue do not change; the current month is marked preliminary until it ends.

Method and citation

Shares are measured inside a fixed panel of sources present in every month of the window, with each source weighted equally (capped), and count distinct openings (employer + title + state), not rows. Days to close: median lifespan of postings opened 60–150 days earlier that have since closed. Sign-on: share of this month's postings stating a bonus (amount often not given). Seeker interest: job views per live posting relative to the nurse practitioner average on WeekdayDoc — our audience, so it is labelled as such. Pay drift: advertised maximum on re-posted roles (same employer, specialty and title, 60+ days apart), one vote per employer. Specialties need 60+ postings from 12+ employers to be ranked. Full methodology.

Cite as: WeekdayDoc Hiring Index, Nurse Practitioners, September 2026 — https://www.weekdaydoc.com/hiring-index/nurse-practitioners/2026-09. Data: CC BY 4.0 with attribution.

Other months