States with the highest, lowest APP job growth
Among four advanced practice provider positions, only nurse practitioners saw growth in employed workers between 2024 and 2025.
The Bureau of Labor Statistics reports on the number of employed people in each roll by state. The data, released May 13, calculated the number of employed people in 2025. Becker’s gathered data for all of the APP positions that the bureau tracks.
Between 2024 and 2025, physician assistants saw a decline of 0.3%, or 550 positions, in the number of employed staff, while nurse anesthetists saw a 9% decline. Nurse practitioners, however, saw an increase of 0.8%, or 2,630 positions. Nurse midwives saw a 16.4% decline, but that could be due to a number of states not reporting totals of employed midwives.
Here are the states and the District of Columbia with the number of employed APPs in 2025.
Editor’s note: “NA” indicates that BLS did not report the number of employed positions. If there was no data for either 2024 and 2025, Becker’s put NA for the total change.
| State | Physician assistants | Nurse anesthetists | Nurse practitioners | Nurse midwives | ||||
| Total employed 2025 | % change from 2024 | Total employed 2025 | % change from 2024 | Total employed 2025 | % change from 2024 | Total employed 2025 | % change from 2024 | |
| Alabama | 930 | 20.8% | 1,810 | 28.4% | 5,640 | 19.2% | NA | NA |
| Alaska | 700 | 4.5% | 90 | 200% | 710 | 24.6% | 60 | 0% |
| Arizona | 3,750 | 5.9% | 310 | NA | 7,220 | -4.2% | 80 | 0% |
| Arkansas | 850 | -12.4% | NA | NA | 3,970 | 18.5% | NA | NA |
| California | 13,600 | 0.2% | 2,230 | -1.8% | 25,120 | 19.7% | 870 | -1.1% |
| Colorado | 3,270 | 2.8% | 800 | 27% | 4,270 | 3.4% | 180 | -14.3% |
| Connecticut | 3,570 | -3.5% | 480 | -15.8% | 3,750 | 1.9% | 150 | 50% |
| Delaware | 860 | 24.6% | NA | NA | 1,430 | 18.2% | NA | NA |
| District of Columbia | 470 | -24.2% | NA | NA | 680 | -13.9% | 70 | 0% |
| Florida | 9,310 | -11.9% | 4,600 | -25.1% | 21,790 | -11.7% | 460 | -46.5% |
| Georgia | 5,610 | 27.5% | 1,170 | 0.9% | 10,460 | -1.1% | 300 | -21.1% |
| Hawaii | 530 | 20.5% | NA | NA | 550 | 17% | NA | NA |
| Idaho | 1,320 | 12.8% | NA | NA | 1,750 | 11.5% | NA | NA |
| Illinois | 3,790 | -3.6% | 1,140 | -10.2% | 9,270 | -3% | 280 | -9.7% |
| Indiana | 2,110 | -1.9% | 600 | 71.4% | 7,450 | -0.3% | 170 | 70% |
| Iowa | 1,200 | 0% | 380 | -34.5% | 3,240 | 15.3% | 80 | 14.3% |
| Kansas | 890 | -11.9% | 910 | NA | 3,780 | 24.8% | NA | NA |
| Kentucky | 1,360 | 8.8% | 1,640 | 56.2% | 4,770 | 1.3% | NA | NA |
| Louisiana | 1,360 | -23.2% | 900 | 1.1% | 5,380 | 20.1% | 60 | NA |
| Maine | 1,030 | 10.8% | 380 | -15.6% | 1,650 | 1.2% | 50 | 0% |
| Maryland | 2,950 | 1% | 840 | 18.3% | 6,710 | 1.1% | 240 | -7.7% |
| Massachusetts | 4,470 | 3.7% | 500 | -18% | 8,070 | -9.5% | 280 | 47.4% |
| Michigan | 6,310 | 14.9% | 2,300 | -22.3% | 8,290 | 4.9% | 430 | 59.3% |
| Minnesota | 3,660 | -3.4% | 2,130 | -17.1% | 7,780 | -10.5% | 410 | 57.7% |
| Mississippi | 320 | -13.5% | 480 | 77.8% | 4,690 | 12.5% | NA | NA |
| Missouri | 2,300 | 39.4% | 1,550 | 28.1% | 7,710 | 13% | 80 | 33.3% |
| Montana | 600 | -1.6% | NA | NA | 1,260 | 20% | NA | NA |
| Nebraska | 1,330 | 6.4% | 430 | 48.3% | 2,340 | 8.8% | NA | NA |
| Nevada | 1,090 | -8.4% | NA | NA | 1,930 | -34.4% | NA | NA |
| New Hampshire | 1,060 | 0% | 490 | 145% | 1,770 | -1.1% | 60 | 20% |
| New Jersey | 4,790 | 102.1% | NA | NA | 9,950 | 3.8% | 120 | -36.8% |
| New Mexico | 700 | 9.4% | NA | NA | 1,770 | -5.3% | 50 | -61.5% |
| New York | 19,140 | -1.3% | 2,450 | 102.5% | 22,890 | 12% | 360 | -26.5% |
| North Carolina | 7,490 | -12.1% | 3,340 | 18.4% | 9,800 | 22.2% | 240 | -31.4% |
| North Dakota | 510 | -1.9% | 250 | 0% | 1,290 | 2.4% | NA | NA |
| Ohio | 4,900 | 8.2% | 2,300 | -6.5% | 15,400 | 5.8% | 180 | 20% |
| Oklahoma | 1,770 | -0.6% | 990 | NA | 3,620 | 19.9% | NA | NA |
| Oregon | 2,250 | 16.6% | 370 | -24.5% | 2,820 | 16% | 240 | -11.1% |
| Pennsylvania | 9,020 | 16.2% | 2,500 | -6% | 10,670 | -1.7% | 320 | -39.6% |
| Rhode Island | 810 | 35% | 120 | NA | 1,180 | -1.7% | 80 | -11.1% |
| South Carolina | 2,250 | 9.8% | 1,010 | 6.3% | 5,670 | -3.1% | 100 | 233.3% |
| South Dakota | 680 | 4.6% | 400 | 8.1% | 1,020 | 7.4% | NA | NA |
| Tennessee | 2,240 | -5.9% | 1,690 | -28.4% | 12,150 | -15% | 330 | 26.9% |
| Texas | 10,110 | 0.8% | 4,060 | 10.9% | 25,970 | 19.7% | 290 | -21.6% |
| Utah | 1,610 | -3.6% | NA | NA | 2,740 | -4.2% | 140 | 40% |
| Vermont | 410 | 0% | 40 | -20% | 700 | 2.9% | 60 | 50% |
| Virginia | 4,340 | 22.9% | 700 | -28.6% | 7,110 | 9.9% | NA | NA |
| Washington | 3,540 | 6.9% | 760 | 4.1% | 6,700 | 39.9% | 170 | 13.3% |
| West Virginia | 1,080 | 12.5% | 740 | -6.3% | 2,550 | 11.8% | NA | NA |
| Wisconsin | 3,580 | 17.8% | 990 | -4.8% | 5,160 | 4.2% | 200 | 122.2% |
| Wyoming | 330 | -19.5% | 80 | 0% | 440 | 0% | NA | NA |
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