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Nurse Midwives vs Nurse Practitioner: what changes?

Consider Nurse Midwives if you want to diagnose and coordinate all aspects of the birthing process, either independently or as part of a healthcare team. Consider Nurse Practitioner if you would rather diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. Both list master's degree; compare training and prior experience separately.

Try this next: Compare three local entry-level postings for Nurse Midwives and Nurse Practitioner. List the duties, credentials, prior experience, and paid training each employer actually asks for. Try a supervised class or sample project from each field before choosing a program.

BLS 2025 wages and 2025–2035 projections. National medians are not starting offers. Occupation size is not a count of vacancies. View the BLS data.

Compare the practical differences
What this means in practice

The facts most likely to affect your decision

Start with earnings, the route into the job, training, available openings, and a day-to-day reality.

Nurse Midwives

National median pay (2025)
$134,040
Route into the job
Master's degree
Prior related experience
No prior related occupation is typically required; employer requirements vary.
Training and licensing
BLS does not list a separate on-the-job training requirement. Employers may still provide orientation and role-specific training.
Work to investigate
Provide prenatal, intrapartum, postpartum, or newborn care to patients.
Annual openings (2025–2035)
400
Know before you choose

This is a small national occupation (8,200 jobs in 2025), so location and employer concentration can matter more than the national median suggests.

See the full Nurse Midwives brief

Nurse Practitioner

National median pay (2025)
$132,300
Route into the job
Registered-nurse licensure, at least a master's degree in the specialty role, national certification, and state APRN licensure are required. Check each program's prerequisites and clinical placements.
Prior related experience
No prior related occupation is typically required; employer requirements vary.
Training and licensing
BLS does not list a separate on-the-job training requirement. Employers may still provide orientation and role-specific training.
Physical work
Patient care can involve standing, walking, and moving patients. Physical demands vary across specialties and settings.
Schedule and hours
Office roles often follow business hours; hospital roles may include nights, weekends, holidays, and on-call work.
Annual openings (2025–2035)
29,400
Know before you choose

Graduate nursing programs differ in prerequisites and clinical placement arrangements. Verify both before estimating cost and time to practice.

BLS: entry routes, workplace, and schedules · Reviewed September 16, 2026. BLS 2025 wages and 2025–2035 projections.

See the full Nurse Practitioner brief
See scores, detailed data, and how the comparison works

How the national numbers differ

1

Nurse Practitioner has the edge on annual openings

Nurse Practitioner is at 29,400 annual openings, compared with 400 annual openings for Nurse Midwives.

2

Nurse Practitioner has the edge on projected growth

Nurse Practitioner is at 41% projected growth, compared with 11.5% projected growth for Nurse Midwives.

3

National pay benchmarks are very similar.

Compare actual offers, expected paid hours, schedule, and benefits before treating either career as the higher-paying option.

54.7/ 100

Nurse Midwives

vs
79/ 100

Nurse Practitioner

Each available metric is ranked from 0 to 100 against the careers on ChooseField. The weighted average uses this profile: pay 30%, growth 25%, openings 30%, preparation level 15%. Missing values are not scored as zero; their weights are redistributed across available metrics. Occupation size has zero weight: employment is not accessible vacancies. Preparation categories do not measure admission difficulty or years without earnings. The score summarizes national measures; local opportunities and personal fit still need separate consideration.

Detailed evidence

Nurse Midwives vs Nurse Practitioner

DimensionNurse MidwivesNurse Practitioner
Median pay (2025)$134,040$132,300
Pay percentile92.9 percentile92.4 percentile
Projected growth (2025–2035)11.5%41%
Annual openings (2025–2035)40029,400
2025 employment8,200336,300
How you qualifyMaster's degreeRegistered-nurse licensure, at least a master's degree in the specialty role, national certification, and state APRN licensure are required. Check each program's prerequisites and clinical placements.
O*NET preparation groupJob Zone 5Job Zone 5
Related work experienceNo prior related occupation is typically required; employer requirements vary.No prior related occupation is typically required; employer requirements vary.
On-the-job trainingBLS does not list a separate on-the-job training requirement. Employers may still provide orientation and role-specific training.BLS does not list a separate on-the-job training requirement. Employers may still provide orientation and role-specific training.
SchedulesVaries by employer and setting; ask about shifts, overtime, on-call work, and predictable hours.Office roles often follow business hours; hospital roles may include nights, weekends, holidays, and on-call work.
Physical workUnknown: review standing, lifting, repetitive movement, and posture with a practitioner. No overall physical-demand rating is assigned.Patient care can involve standing, walking, and moving patients. Physical demands vary across specialties and settings.

The table reports national benchmarks and reviewed work descriptions. It does not rate personal suitability, job security, or physical safety.