Nursing Program Rankings

Best Nurse Practitioner Programs in Texas for 2026

23Programs analyzed
$3,818–$36,750Tuition range
53%Avg graduation rate
$132,300Median nurse practitioner salary

Finding the best nurse practitioner programs in Texas takes more than a Google search. You are a working RN, probably with a BSN and an active Texas nursing license, and you have already done the bedside years. What you are looking for now is a graduate program that prepares you to practice independently as a nurse practitioner, without wasting two years on a curriculum that goes soft on clinical training or an accreditation that will not hold up when you sit for certification.

The payoff is real and the numbers are not subtle. According to the Bureau of Labor Statistics, nurse practitioners earn a national median of $132,300 per year. The national median for a staff RN is $97,550. That is a $34,750-per-year raise, roughly 42 percent more, and it compounds every year you practice. Texas has 23 programs in this analysis, with in-state tuition ranging from $3,818 (Texas A&M International University) to $36,750 (Houston Christian University). There is a program here at nearly every price point. The question is which one fits your specialty goal, your schedule, and what you can afford to spend before the pay jump starts paying you back.

This page covers the best nurse practitioner programs in Texas for 2026: how each program stacks up on outcomes, cost, and format; what accreditation actually means for your license; and how to calculate whether the investment makes financial sense before you commit.

Key Takeaways on the Best Nurse Practitioner Programs in Texas

  • Nurse practitioners earn a national BLS median of $132,300 per year, versus $97,550 for a staff RN, a difference of $34,750 per year (about 42 percent more).
  • In-state tuition across the 23 Texas programs analyzed runs $3,818 to $36,750; even at the high end, the annual pay jump recovers the full program cost in under two years of NP practice.
  • Every accredited nurse practitioner program requires clinical practicum hours, typically 500 to 1,000 or more depending on specialty track, and no program waives them; they must be completed in person.
  • Admission requires a BSN and an active RN license; most programs also expect one or more years of bedside clinical experience before you apply.
  • Look for CCNE or ACEN program accreditation; without it, graduates can be barred from sitting for national certification exams and cannot obtain a Texas NP license.
  • Most Texas NP programs blend asynchronous online coursework with in-person clinical rotations you arrange near where you live, which lets working RNs stay employed while completing the degree.

Programs were scored using the Hakia Score, a composite built from institutional outcome data, selectivity signals, and cost efficiency drawn from IPEDS. The score weights graduation outcomes and selectivity more heavily than sticker price, because a cheaper program that does not graduate its students is no bargain. Tuition figures are in-state rates reported to IPEDS; actual program costs can vary by credit-hour load and fee structure, so confirm current costs directly with each institution before enrolling.

The 23 Best Nurse Practitioner Programs in Texas, Ranked for 2026

The 23 best Nurse Practitioner Programs in Texas, ranked by outcomes
#ProgramTypeIn-state tuitionGrad rateAdmit rateHakia Score
1The University of Texas at AustinAustin, TXPublic$11,68889%27%95.3
2Texas A&M University-College StationCollege Station, TX · online optionPublic$9,09284%57%92.3
3Texas Tech University Health Sciences CenterLubbock, TXPublic$6,67284.7
4The University of Texas Health Science Center at HoustonHouston, TXPublic$10,03884.6
5The University of Texas Medical Branch at GalvestonGalveston, TX · online optionPublic$8,58083.1
6University of HoustonHouston, TXPublic$8,68565%74%82.9
7The University of Texas at ArlingtonArlington, TXPublic$9,20654%80%78.3
8Texas A & M International UniversityLaredo, TXPublic$3,81846%44%74.6
9Texas State UniversitySan Marcos, TXPublic$8,60655%89%71.7
10The University of Texas at TylerTyler, TXPublic$7,02054%94%70.4
11Texas Woman's UniversityDenton, TX · online optionPublic$5,71249%96%70.4
12Lubbock Christian UniversityLubbock, TX · online optionnonprofit$27,88051%73%69.6
13Stephen F Austin State UniversityNacogdoches, TXPublic$7,84253%94%67.1
14West Texas A & M UniversityCanyon, TXPublic$6,37255%99%66.9
15Texas A & M University-Corpus ChristiCorpus Christi, TXPublic$4,91340%89%66.7
16The University of Texas Rio Grande ValleyEdinburg, TXPublic$7,84251%94%66.0
17Prairie View A & M UniversityPrairie View, TXPublic$7,38743%79%65.9
18The University of Texas at El PasoEl Paso, TXPublic$7,70450%100%65.9
19Houston Christian UniversityHouston, TXnonprofit$36,75049%84%65.8
20Texas Wesleyan UniversityFort Worth, TX · online optionnonprofit$34,60832%69%65.5
21Midwestern State UniversityWichita Falls, TX · online optionPublic$5,46543%94%64.0
22East Texas A&M UniversityCommerce, TXPublic$4,79043%92%63.2
23South University-AustinRound Rock, TX · online optionfor-profit$17,10057.6

The Top Nurse Practitioner Programs in Texas at a Glance

Each program scores 0 to 100 on the Hakia Score, a composite of graduation rate, cost, selectivity, and outcomes. Longer bars rank higher.

A Closer Look at the Top Nurse Practitioner Programs in Texas

#1

The University of Texas at Austin

Austin, TX · Public

95.3Score
$11,688In-state
$44,908Out-of-state
Grad rate89%
Admit rate27%

A 27% admit rate and 89% graduation rate make UT Austin's MSN the most selective and highest-completing graduate nursing program in Texas.

  • 27% admit rate, most selective NP/nursing graduate program in Texas
  • 89% graduation rate
  • $11,688/yr in-state tuition, ~$23,376 over 2 years
  • Hakia Score 95.3, ranked #1 in Texas

UT Austin's MSN program is a leadership-focused, on-campus degree delivered over two years full-time, with part-time study available. The curriculum centers on the Leadership in Diverse Settings (LeaDs) track, which prepares nurses for advanced roles in patient care, community health, and nursing education rather than direct APRN clinical practice. Working RNs who want to move into health systems leadership, quality improvement, or nursing education will find the degree plan purpose-built for those outcomes; the program culminates in an evidence-based practice or quality improvement capstone project. RNs seeking an APRN clinical track (family NP, acute care NP) should note that UT Austin routes those students to its separate DNP-APRN program, not this MSN. Admission opens September 1 and closes November 1 each year for a fall start, and applicants need a current Texas RN license or a Nurse Licensure Compact state license.

In-state tuition runs $11,688 per year; over two years of full-time study that projects to roughly $23,376 in tuition before fees, one of the lower price tags at a flagship public university. The program admits selectively: a 27% admit rate signals genuine competition, and the 89% graduation rate confirms that admitted students finish. A 3.0 GPA on upper-division coursework and three professional recommendations are the floor requirements. The Hakia Score of 95.3 reflects the combination of institutional strength, selectivity, and completion outcomes that rank it first among Texas graduate nursing programs in this index. The payoff for leadership-track graduates is a pathway to nurse executive and director roles; those who later complete the DNP-APRN can add prescriptive authority and reach the BLS national NP median of $132,300 per year.

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#2

Texas A&M University-College Station

College Station, TX · Public · online option

92.3Score
$9,092In-state
$36,169Out-of-state
Grad rate84%
Admit rate57%

Texas A&M's fully online MSN-FNP logs 646 documented clinical hours across six semesters, and Texas residents pay $9,092 per year in tuition.

  • 646 documented clinical hours across 6 semesters
  • 100% online didactic, community-based preceptors
  • $9,092/yr in-state tuition, ~$18,184 over 2 years full-time
  • Hakia Score 92.3, eligible for ANCC and AANP FNP certification

Texas A&M's online MSN-Family Nurse Practitioner program is built for working BSN-prepared RNs who cannot relocate. Coursework is delivered primarily online in either a full-time six-semester track or a part-time eight-semester track, both totaling 48 credit hours. Clinical hours are substantial and documented: 45 hours in advanced health assessment (two on-campus visits to Bryan-College Station), 16 hours in diagnostics and procedures, three primary care rotations of 135 hours each (405 hours total), and a 180-hour practicum, adding up to 646 supervised clinical hours. Students arrange community-based preceptors; the program will place students who cannot find one, though travel costs in that case fall on the student. Applicants must reside in Texas and hold an active, unencumbered RN license, and the program requires documentation of 1,500 BSN practice hours before the first clinical course. Graduates are eligible to sit for both the ANCC Family Nurse Practitioner and the AANP certification exams.

At $9,092 per year in-state, a full-time student completing the program in two academic years would pay roughly $18,184 in tuition, making this one of the most affordable APRN pathways at a research-intensive public university. The 57% admit rate is notably more accessible than UT Austin, and the 84% graduation rate reflects a program that supports students through completion. The Hakia Score of 92.3 places it second in Texas, driven by its online accessibility, clinical depth, and completion outcomes. The income shift is concrete: a new FNP moving from staff RN wages to the BLS national NP median of $132,300 represents a gain of roughly $34,750 per year over the BLS staff RN median of $97,550, meaning the tuition investment returns in under a year of the wage difference.

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#3

Texas Tech University Health Sciences Center

Lubbock, TX · Public

84.7Score
$6,672In-state
$18,972Out-of-state

TTUHSC's MSN-FNP track costs $6,672 per year in-state and explicitly prepares graduates for rural and underserved primary care roles across Texas.

  • $6,672/yr in-state tuition, lowest among ranked TX programs
  • 45-credit MSN-FNP plus post-grad certificate option
  • Rural and underserved primary care focus
  • ANCC and AANP certification-eligible upon completion

Texas Tech University Health Sciences Center offers a 45-credit-hour MSN Family Nurse Practitioner track that prepares graduates to serve as primary care providers, with a stated emphasis on rural and underserved settings. A Post-Graduate FNP Certificate is also available for nurses who already hold an MSN and want to add the FNP specialty without a second master's degree. Admission requires a BSN from a program accredited by CCNE or ACEN, a valid unencumbered RN license, a minimum 3.0 cumulative GPA, and undergraduate coursework in research and statistics. Out-of-state applicants should contact admissions before applying, as state-specific regulatory constraints may affect eligibility. Upon completing the required credit hours, graduates are eligible to sit for both the ANCC Family Nurse Practitioner exam and the AANP certification exam.

At $6,672 per year in-state, TTUHSC carries the lowest published tuition rate among the four ranked Texas programs and is the entry point for Texas RNs who want an FNP credential at the lowest possible cost. Financial aid, including loans, grants, and scholarships, is available upon admission. The Hakia Score of 84.7 reflects the program's institutional standing as a dedicated health sciences center with a deep Texas rural health mission; admitted and graduated rates were not published on the program page. RNs in West Texas, the Panhandle, or smaller metros who want to stay near their communities and build a rural primary care practice will find the curriculum and institutional network directly aligned with that goal. The pay difference between a staff RN and a credentialed FNP, $34,750 per year by BLS national medians, means even a conservative two-year cost estimate at this tuition rate produces a payback period well under 12 months of the wage gain.

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#4

The University of Texas Health Science Center at Houston

Houston, TX · Public

84.6Score
$10,038In-state
$37,422Out-of-state

UTHealth Houston's CCNE-accredited MSN delivers FNP training inside the Texas Medical Center through a hybrid format designed around working nurses' schedules.

  • CCNE-accredited MSN-FNP program
  • Hybrid format built for working nurses
  • Texas Medical Center clinical network access
  • $10,038/yr in-state tuition with academic and need-based scholarships

The Cizik School of Nursing at UTHealth Houston offers an MSN with two tracks: Family Nurse Practitioner and Nursing Leadership. The FNP track is described as hybrid, combining online coursework with in-person touchpoints so working nurses can maintain employment during the program. FNP students may also concurrently pursue an Emergency Nurse Practitioner specialty, and nurses who already hold an NP, CNS, or CRNA credential can use post-graduate certificate tracks to add a second specialty area. The program sits within UTHealth Houston's academic health system, which includes five other health professions schools and direct affiliation with the Texas Medical Center, one of the largest medical complexes in the world; that network translates into clinical placement access across a wide range of specialty and primary care settings.

The program is CCNE-accredited as explicitly stated on the program page, satisfying the accreditation standard that governs eligibility for national NP certification exams. In-state tuition is $10,038 per year. The school notes it offers both academic and need-based scholarships for MSN students, and positions itself as one of the most affordable MSN programs in Texas. The Hakia Score of 84.6 places it fourth in this ranking, a fraction behind TTUHSC, with enrollment under 5,000 students reflecting the focused health sciences center model. Admit and graduation rates were not published on the program page. For Houston-area RNs who want urban hospital and specialty clinical placements alongside FNP coursework, the Texas Medical Center affiliation is a concrete differentiator. At the BLS national NP median of $132,300, the $34,750 annual income gain over a staff RN wage backs a tuition investment that returns quickly once certification is complete.

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#9

Texas State University

San Marcos, TX · Public

71.7Score
$8,606In-state
$20,086Out-of-state
Grad rate55%
Admit rate89%

750 direct clinical hours in a fully online didactic MSN-FNP, with in-state tuition of $8,606 per year.

  • 900 total clinical hours (750 direct + 150 indirect)
  • 100% online didactic coursework
  • ~$17,200 estimated in-state total tuition
  • Hakia Score 71.7, highest-ranked in this group

Texas State's MSN-FNP program is a 43-credit-hour, online-didactic degree offered through the St. David's School of Nursing. The sole specialty track is Family Nurse Practitioner, with an explicit curricular emphasis on primary care in rural and underserved areas. Didactic courses are fully online; practicum courses blend virtual sessions with hands-on hours arranged through individual preceptors near the student. The curriculum mandates 750 direct patient-care hours plus 150 indirect hours, putting total supervised practice time at 900 hours. The program runs full-time or part-time, both following a required course sequence, and prepares graduates to sit for the ANCC or AANP FNP certification exams.

At the in-state rate of $8,606 per year, a two-year completion path costs roughly $17,200 in tuition. Against the BLS national NP median of $132,300 versus $97,550 for a staff RN, the $34,750 annual pay jump recoups that $17,200 investment in under six months of the wage differential; that is one of the sharpest ROI figures among accredited Texas MSN-FNP programs. The program holds a Hakia Score of 71.7, the highest in this cohort, with a 55% graduation rate and an 89% admit rate. Confirm current CCNE accreditation status at the CCNE directory. Best fit: Texas RNs who want the lowest-cost online path to FNP certification with rural primary-care clinical depth.

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#10

The University of Texas at Tyler

Tyler, TX · Public

70.4Score
$7,020In-state
$22,020Out-of-state
Grad rate54%
Admit rate94%

$25,720 total in-state tuition for a 47-credit hybrid MSN-FNP with multiple annual start dates.

  • $25,720 total in-state tuition (school-stated)
  • Multiple start dates per year
  • FNP and PMHNP tracks plus post-master's certificates
  • Hakia Score 70.4, 94% admit rate

UT Tyler's MSN-FNP program is a 47-credit hybrid degree that combines web-enhanced online coursework with hands-on clinical courses. The program offers multiple start dates per year, which matters for working RNs who cannot wait for a single annual cohort. Beyond FNP, the nursing online platform at UT Tyler also offers MSN tracks in Psychiatric-Mental Health NP (PMHNP), Nursing Administration, Nursing Education, Nursing Informatics, and an MSN/MBA dual degree, giving admitted students a clear upgrade path if their specialty interest shifts. Post-master's FNP and PMHNP certificates are also available for RNs who already hold an MSN. Clinical hours are completed in hands-on settings arranged near the student.

The program's own comparison table sets total in-state tuition at $25,720, which the school positions as the lowest among comparable Texas programs. Against the BLS NP median of $132,300, the $34,750 annual pay lift over a staff RN's $97,550 recoups the $25,720 cost in roughly eight months of the wage differential. UT Tyler holds a Hakia Score of 70.4, a 54% graduation rate, and a 94% admit rate, the highest admit rate in this cohort. Confirm current CCNE or ACEN accreditation at CCNE or ACEN. Best fit: Texas RNs who want the lowest published sticker-price MSN-FNP in the state, with flexible start timing and a clear path to PMHNP if family practice is not the final goal.

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#11

Texas Woman's University

Denton, TX · Public · online option

70.4Score
$5,712In-state
$15,552Out-of-state
Grad rate49%
Admit rate96%

TWU's MSN-FNP runs hybrid or 100% online at an in-state rate of $5,712 per year, the lowest annual tuition in this Texas cohort.

  • $5,712/yr in-state tuition, lowest annual rate in cohort
  • 100% online or hybrid (Dallas) delivery
  • Requires 1+ year RN experience before admission
  • Rolling admissions, Fall 2026 open

Texas Woman's University offers its MSN-FNP in two delivery formats: a 100% online version and a hybrid version that adds in-person class sessions in Dallas. The hybrid track is currently limited to Texas residents. Both options focus on Family Nurse Practitioner preparation across the full lifespan, with a curricular emphasis on health promotion and primary care. Admission requires a BSN from a nationally accredited program, a current unencumbered RN license, a 3.0 GPA in the last 60 hours, and at least one year of RN clinical experience, the strictest experience requirement among the four programs reviewed here. Rolling admissions are open for Fall 2026 and beyond.

At $5,712 per year in-state, TWU carries the lowest annual tuition rate in this cohort. A typical two-year completion timeline implies roughly $11,400 in tuition, meaning the $34,750 annual NP pay premium over a staff RN recovers the full program cost in under four months of the wage differential. The program holds a Hakia Score of 70.4 (tied with UT Tyler), a 49% graduation rate, and a 96% admit rate. TWU advertises itself as the nation's largest FNP program by enrollment. Confirm CCNE accreditation at the CCNE directory. Best fit: Texas-based RNs with at least one year of bedside experience who want the lowest-cost MSN-FNP available and are comfortable with either a fully online or Dallas-area hybrid schedule.

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#12

Lubbock Christian University

Lubbock, TX · nonprofit · online option

69.6Score
$27,880In-state
$27,880Out-of-state
Grad rate51%
Admit rate73%

LCU offers both MSN-FNP and DNP-APRN pathways fully online at a private-school tuition of $27,880 per year, with the most selective admission in this group at 73%.

  • MSN-FNP to DNP-APRN pathway in one institution
  • 73% admit rate, most selective in this cohort
  • Fully online delivery, all residency statuses same tuition
  • Faculty: predominantly DNP/APRN credentialed practitioners

Lubbock Christian University's Graduate School of Nursing offers a full ladder of online programs: MSN-FNP, Post-MSN FNP certificate, DNP-APRN Track, and a DNP Education and Leadership Track. That breadth means an RN can enter at the MSN level and continue to a practice doctorate within the same institution without switching programs or transferring credits. The FNP curriculum is staffed by a faculty cohort that is almost entirely DNP- or PhD-prepared practitioners holding active FNP-C or APRN credentials, which is a meaningful signal of clinical currency. All programs are delivered online, with clinical hours arranged near the student.

Tuition is $27,880 per year regardless of residency, consistent with private-college pricing. Without a published total-credit count on the scraped page, a precise all-in cost cannot be confirmed here; prospective students should request the full degree plan to calculate total tuition before enrolling. Against the BLS NP median of $132,300, the $34,750 annual pay premium over a staff RN still produces a positive return, but the timeline to break-even is longer than at any public program in this cohort. The program holds a Hakia Score of 69.6, a 51% graduation rate, and a 73% admit rate, the most selective in this group. Confirm CCNE or ACEN accreditation at CCNE or ACEN. Best fit: RNs who want a faith-integrated graduate nursing environment, plan to continue to a DNP within the same institution, and can absorb private-school tuition in exchange for a fully online, flexible schedule.

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Who the Nurse Practitioner Degree Is Built For

This is a graduate-level credential, either a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP), and it is built specifically for registered nurses who are ready to move into an advanced practice role. If you do not already hold a BSN and an active RN license, you are not the target student for these programs, and most Texas NP programs will tell you that on the admissions page.

The BSN requirement is non-negotiable at accredited programs. Some schools will review transcript equivalency if you have a nursing degree from another country, but for most working Texas RNs this is straightforward: BSN from an accredited nursing school, active license with no disciplinary flags, and transcripts showing strong science coursework. Beyond the degree and license, most programs also expect a year or more of direct patient care experience before you apply. That is not just a soft preference. Programs that take new-grad RNs into NP tracks are the exception, and some accreditors and clinical placement sites expect students to already know how to function at the bedside before they are practicing at an advanced level.

The student these programs are designed for is someone who has been at the bedside long enough to know exactly what a nurse practitioner does in their clinical setting and has decided they want to be the one doing it. That clarity makes the difference in clinical practicums. Students who arrive with two or three years of ICU, ED, or primary care experience get more out of their supervised hours because they already understand the environment they are practicing in.

Online vs. On-Campus Format and Clinical Hours

The majority of Texas nurse practitioner programs deliver their didactic coursework online, which is the practical reality for a profession where most students are employed full-time while they study. Asynchronous lecture content, recorded seminars, and online skills labs have become standard. What has not changed, and will not, is the clinical practicum requirement.

Every accredited NP program requires a set number of supervised clinical hours completed in person, in a real clinical setting, with a qualified preceptor. Depending on the specialty track and whether the program is an MSN or DNP, that typically runs from 500 to over 1,000 hours. The DNP generally carries a higher clinical and scholarly project load than the MSN. These hours are not optional, cannot be completed virtually, and no program waives them regardless of your years of experience as an RN. A program that suggests otherwise is a red flag worth investigating before you apply.

Most Texas programs ask students to secure their own clinical placements near where they live, rather than assigning them to a central teaching site. This is the tradeoff for the online format: you get geographic flexibility, but you are responsible for finding a qualified supervising physician, NP, or other licensed provider who will sign off as your preceptor. Programs vary significantly in how much support they provide for this. If preceptor sourcing is going to be a problem in your area, ask the program directly what resources they offer before you enroll, not after.

Nurse Practitioner Specialty Tracks and Scope of Practice

Nurse practitioner is not one job. It is a credentialing category that covers multiple specialty certifications, each with its own national exam, scope of practice, and patient population. The specialty you choose determines where you can practice, who you can treat, and which certification board you will sit with after graduation. Picking the wrong track for your career goals means starting over.

The most common tracks at Texas programs include Family Nurse Practitioner (FNP), which is the broadest and covers patients across the lifespan in primary care and outpatient settings; Adult-Gerontology Primary Care (AGPCNP) and Adult-Gerontology Acute Care (AGACNP), which focus specifically on adult and older adult populations in primary or acute settings; Pediatric Primary Care and Acute Care (PPCNP, PACNP); Psychiatric-Mental Health Nurse Practitioner (PMHNP), which has grown significantly given the national shortage of mental health providers; and Women's Health (WHNP). Some programs also offer post-master's certificate tracks for RNs who already hold an MSN in another specialty and want to add an NP certification.

Texas is a full-practice authority state, meaning nurse practitioners who meet licensure requirements can evaluate, diagnose, order and interpret diagnostics, and prescribe independently without a physician supervisory agreement. That regulatory environment is one reason the Texas NP job market is competitive. The BLS projects nurse practitioner employment to grow 40 percent nationally through 2033, well above average for any profession, and Texas population growth makes the in-state market even stronger.

What Nurse Practitioner Programs Cost and What They Pay Back

Across the 23 Texas programs in this analysis, in-state tuition runs from $3,818 per year at Texas A&M International University to $36,750 per year at Houston Christian University. Those are sticker rates; total program cost depends on how many credit hours the specific NP track requires and how long you take to finish. An MSN-FNP at a public Texas university typically runs two to three years full-time or three to four years part-time. A DNP adds time and credit hours on top of that.

Here is the math. Nurse practitioners earn a national BLS median of $132,300 per year, versus $97,550 for a staff RN. That is a raise of $34,750 per year, or about 42 percent more in base pay. Over a 20-year NP career, the cumulative difference compared to staying a staff RN is roughly $695,000. Even a two-year program at a private school with $36,750 annual tuition totals $73,500 in tuition before fees. At the annual pay difference of $34,750, you recover that full cost in under two years of NP practice. At public school rates, the payback period drops to one year or less.

The programs at the top of the Hakia rankings skew heavily public. UT Austin leads at a Hakia Score of 95.3 and $11,688 in-state tuition. Texas A&M College Station follows at 92.3 and $9,092. Texas Tech Health Sciences Center offers a score of 84.7 at just $6,672. At that price, a full two-year program runs roughly $13,000 to $16,000 in tuition total, and the annual NP pay premium covers it in less than six months of practice. The private nonprofit programs, Lubbock Christian at $27,880 and Houston Christian at $36,750, carry higher sticker prices but still recover their cost in under two years given the pay jump. The for-profit program in this list, South University-Austin, carries both a lower Hakia Score (57.6) and $17,100 in tuition; research that option carefully before enrolling, particularly regarding NCLEX pass rates and certification exam outcomes specific to their NP graduates.

One number people undercount: the opportunity cost of reducing clinical hours while in school. Many NP students move from full-time to part-time RN work during the degree. That income reduction is a real cost of the program that does not show up in the tuition line. Factor it in when you are comparing two-year versus three-year program lengths.

Accreditation: CCNE or ACEN, and Why It Is Not Optional

Program accreditation is the single most consequential factor on this list and the one students most often learn about too late. Graduation from an unaccredited nursing program can make you ineligible to sit for the national nurse practitioner certification exams. No certification means no NP license, which means no NP practice, regardless of how many clinical hours you completed or what your GPA was. This is not a bureaucratic technicality; it is a hard gate.

The two recognized accreditors for nursing programs are the Commission on Collegiate Nursing Education (CCNE) and the Accreditation Commission for Education in Nursing (ACEN). Both are recognized by the U.S. Department of Education and accepted by national certification bodies including ANCC and AANP. CRNAs have a separate accreditor, the Council on Accreditation of Nurse Anesthesia Educational Programs (COA).

Before you apply to any program, verify its accreditation status directly on the CCNE or ACEN website, not on the school's marketing page. Accreditation can be on probation or lapse. It can cover some tracks at a school but not others. If the specific NP concentration you plan to enroll in is not covered under an active accreditation, that is a problem the brochure will not mention but the certification board will.

Nurse Practitioner Careers: Scope, Autonomy, and the BLS Numbers

The nurse practitioner role is one of the fastest-growing positions in the entire U.S. economy. The BLS Occupational Employment and Wage Statistics report a national median wage of $132,300 per year for nurse practitioners as of May 2025. Employment growth for the category is projected at 40 percent through 2033, driven by primary care shortages, an aging population, and the shift toward team-based outpatient care. Texas, with its population size and rate of growth, is one of the stronger state markets.

In Texas, full-practice authority means a nurse practitioner can operate a primary care clinic without a physician on-site or under a formal collaboration agreement. Many Texas NPs work in independent or group practices, federally qualified health centers, retail health clinics, urgent care settings, hospital outpatient departments, and telemedicine. The specialty track you choose shapes which doors are open: an FNP in primary care is well positioned for outpatient independence, while an AGACNP working in a hospital system may practice in a more team-dependent model, and a PMHNP in mental health has one of the tightest job markets in either direction because demand for psychiatric providers so significantly outstrips supply.

Beyond the salary, nurse practitioners generally gain meaningful autonomy over their clinical decisions and patient relationships that staff RNs, however skilled, do not have in the same way. That is not a secondary benefit. For a lot of working RNs, it is the primary reason they are looking at these programs in the first place.

Nurse Practitioner Programs in Texas: Your Questions, Answered

How long does it take to complete a nurse practitioner program in Texas?
Most MSN-level nurse practitioner programs run two to three years full-time or three to four years part-time when you factor in prerequisites and clinical hours. DNP programs typically add one to two years beyond an MSN, or run three to four years for BSN-to-DNP tracks. Program length varies significantly by school and specialty track, so check the specific credit-hour requirements for the NP concentration you plan to enroll in, not just the general program overview.
Do I need a BSN to apply to a nurse practitioner program in Texas?
Yes. Every CCNE- and ACEN-accredited nurse practitioner program requires a BSN from an accredited nursing school as a minimum admission requirement. An associate degree in nursing (ADN) does not qualify for direct MSN or DNP admission. If you hold an ADN, you would need to complete an RN-to-BSN program first before applying to an NP program.
Can I complete a nurse practitioner program entirely online?
Didactic coursework is offered online at most Texas NP programs, but clinical practicum hours must be completed in person. Depending on the specialty track and degree level, those hours typically range from 500 to over 1,000. You cannot earn an accredited nurse practitioner credential without completing supervised clinical hours in a real patient care setting with a qualified preceptor.
How many clinical hours are required for a nurse practitioner program?
The typical range is 500 to 1,000 or more supervised clinical hours, depending on specialty track and whether the degree is an MSN or DNP. DNP programs generally carry higher hour requirements due to the additional scholarly or quality improvement project component. The specific hour count for a given program is published in its curriculum requirements; confirm it directly with the program before enrolling.
How much does a nurse practitioner program in Texas cost?
In-state tuition across the 23 Texas programs analyzed runs $3,818 per year (Texas A&M International University) to $36,750 per year (Houston Christian University). Public universities dominate the lower end of that range. Total program cost depends on credit hours required and program length; budget for fees, clinical placement costs, and potential income reduction if you move from full-time to part-time RN work while in school.
How much do nurse practitioners earn?
The national BLS median wage for nurse practitioners is $132,300 per year as of May 2025, according to the Bureau of Labor Statistics Occupational Employment and Wage Statistics. See the full data at the BLS OES page for nurse practitioners. Texas salaries vary by metro area and specialty; urban markets generally run above the national median.
Is a nurse practitioner degree worth the cost?
The numbers are straightforward. Nurse practitioners earn a BLS median of $132,300 per year versus $97,550 for a staff RN, a difference of $34,750 per year. Over 20 years, that gap totals roughly $695,000. Even a two-year program at the highest-cost school in this Texas analysis ($36,750 annual tuition) totals about $73,500 in tuition, which the annual pay increase recovers in under two years of NP practice. At public in-state rates, the payback period is under one year.
What accreditation should I look for in a nurse practitioner program?
Look for active CCNE or ACEN accreditation on the specific NP concentration you plan to enroll in, not just the school's nursing department in general. CCNE is administered by AACN; ACEN operates independently. Both are recognized by national nurse practitioner certification bodies including ANCC and AANP. Verify current accreditation status directly on the CCNE or ACEN website before you apply.

How the Nurse Practitioner Programs in Texas Are Scored

Every program earns a Hakia Score from 0 to 100, built only from federal data (IPEDS, the U.S. Department of Education, and BLS) and scored against its true peers: programs in the same field at the same degree level. No reputation surveys, no pay-to-play. Here is how the score is weighted:

  • Outcomes44%

    Graduation rate (26%) and real per-school graduate earnings (18%). Does the program get students to the finish line, and where do they land?

  • Selectivity & academics38%

    Admissions selectivity (24%) and the academic profile of admitted students (14%).

  • Scale & value18%

    Enrollment (7%), cost-to-earnings value (6%), and the number of graduates a program produces (5%).

Weights renormalize over the data each program actually reports, so a school missing a metric (many community colleges do not publish entrance scores or earnings) is never penalized for it. Scores are percentiles within the peer group, curved to a 0-to-100 scale. What the score does not measure: clinical placement quality, NCLEX pass rates, or campus culture. Verify those directly with the program.

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Data sources