Indianapolis is the largest nursing market in Indiana by a wide margin, and a more medical city than its size suggests. The Bureau of Labor Statistics defines the Indianapolis-Carmel-Greenwood metropolitan area as eleven counties around Marion County (Boone, Brown, Hamilton, Hancock, Hendricks, Johnson, Madison, Marion, Morgan, Shelby and Tipton), and in its May 2025 wage survey healthcare practitioners are a larger share of the metro's jobs than they are of the nation's. This guide covers what the BLS says nurses earn in the metro against the national figures, where the open jobs are right now, which license you need (Indiana is a compact state, which matters as much for nurses arriving from Illinois as for those arriving from Ohio or Kentucky), and how the roles are projected to grow.
How big is the healthcare workforce in Indianapolis?
Healthcare is a larger slice of Indianapolis than of the country as a whole. Healthcare practitioners and technical occupations are 7.2% of the metro's jobs against a national share of 6.3%, and they are paid above the national mean for the group ($54.37 an hour against $52.26) in a metro whose overall mean wage, $31.34, is 7% below the national $33.54. Healthcare support occupations are a smaller share than nationally (4.2% against 5.1%) and pay about the national rate ($19.81 against $19.62). On the payroll side, education and health services employed 192,500 people in the metro in August 2026, up 1,900 (1%) on the year, while total nonfarm employment of 1,182,100 fell 1.1%: hospitals and clinics were still adding staff in a metro that was otherwise shedding jobs.
Registered nurses are by far the largest nursing occupation here, as everywhere, and the metro's academic medical center, children's hospital and the head offices of the state's largest health systems concentrate nurse practitioner and specialty roles in Marion and Hamilton counties; licensed practical nurses and nursing assistants are spread more evenly across the state because so much of that work is in long-term care. For the statewide employment and wage figures by role, see nurse jobs and pay in Indiana.
What nurses earn in Indianapolis
The BLS mean hourly wage for registered nurses in the Indianapolis area was $43.09 in May 2025, against $48.76 nationally: 12% below the national mean, a wider gap than the metro's overall wage gap of 7%. In other words, Indianapolis pays its nurses less relative to the nation than it pays its workers generally, even though its healthcare practitioners as a group earn more than the national group mean (physicians, pharmacists and therapists pull that average up). For the other nursing roles, the table gives the national medians the BLS publishes in its Occupational Outlook Handbook, with the metro RN figure beside them for scale; the Indiana statewide figures by role are on nurse jobs and pay in Indiana.
| Occupation | Median annual, national (May 2025) | Median hourly, national | Mean hourly, Indianapolis area (May 2025) |
|---|---|---|---|
| Registered nurses | $97,550 | $46.90 | $43.09 |
| Nurse practitioners (with nurse anesthetists and nurse midwives) | $134,920 | ||
| Licensed practical nurses | $64,400 | $30.96 | |
| Nursing assistants and orderlies | $41,870 | $20.13 |
These are survey means and medians, not offers. Night and weekend differentials, overtime, charge pay and sign-on bonuses sit on top of base pay and vary by employer; see how shift differentials work. For the whole ranking of states, see the highest-paying states for nurses, and for the metro's cost of living against its pay, the RN pay calculator adjusts a salary for Indianapolis rents and Indiana income tax.
Where the open nursing jobs are right now
Betterleap's job board counts open postings on the hospital and health-system career sites it follows. As of September 26, 2026, Indianapolis carried 190 open healthcare postings from 20 employers, 36 of them for registered nurses, against 3,853 open postings statewide from 61 employers. The count for Indianapolis is smaller than the city's size implies because several of the metro's largest systems list their openings on career sites the board does not yet follow, so treat the hub as a starting point rather than a census; the cities below carry more of the state's listed postings today.
| City | Open postings | of which RN | Employers posting |
|---|---|---|---|
| Indianapolis, IN | 190 | 36 | 20 |
| Fort Wayne, IN | 737 | 260 | 11 |
| Evansville, IN | 337 | 73 | 6 |
| Newburgh, IN | 300 | 87 | 5 |
| Terre Haute, IN | 298 | 62 | 7 |
Browse the metro by role: RN jobs in Indianapolis, LPN jobs, CNA jobs and nurse practitioner jobs, or widen to every RN job in Indiana.
Health systems posting the most jobs in Indiana
Counted by open postings on each system's own career site, statewide, as of September 26, 2026. A system that lists every unit and shift separately ranks higher than one that posts one evergreen requisition per role, and a system whose career site the board does not follow is absent.
| # | Employer | Open postings in Indiana |
|---|---|---|
| 1 | Deaconess Health System | 734 |
| 2 | Alliance Health Centers Inc | 541 |
| 3 | Community Health Systems | 399 |
| 4 | Union Health | 293 |
| 5 | Trinity Health | 276 |
Which license do you need to work in Indianapolis?
Indiana is a member of the Nurse Licensure Compact, and so are its neighbours Ohio and Kentucky; Illinois and Michigan are not. If your primary state of residence is any compact state, your multistate RN or LPN license lets you work in Indianapolis without a second license. If you live in Illinois or Michigan, or in any other non-compact state, you need an Indiana license by endorsement, and if you move your primary residence to Indiana you can add the multistate privilege to it. The Indiana State Board of Nursing, part of the Indiana Professional Licensing Agency, issues the licenses; applications, renewals and verifications go through its online portal.
- Licensure by endorsement (already licensed in another state). The application fee is $50 for an RN or an LPN, and you must hold an active license in at least one U.S. state or territory. You request verification from every state where you hold or have held a license (through Nursys where the state uses it, otherwise sent directly by that board), have a certificate of completion or transcript sent for your nursing program if your original state does not verify education, and complete a fingerprint-based national criminal background check, which costs $38.20 and whose federal results typically arrive within 72 to 96 hours (about 7 to 10 days when the prints are taken outside Indiana); the fingerprints must be taken on or after the day the Board receives your application. The agency warns that nursing, with about 1,000 new applications a month, can run slower than its other boards. Nurses educated outside the United States and Canada add a credentials evaluation or a visa screen certificate from an evaluator the Board accepts.
- Working while you wait. An endorsement applicant with an active license elsewhere can add a temporary permit for $10, valid for 90 days and renewable once by the Board for up to another 90 days; one permit per pending application.
- New graduates. Licensure by examination costs the same $50, plus the exam registration fee paid to NCSBN. Your program's dean or director sends the certificate of completion directly to the Board (a copy you submit yourself is not accepted), and the same background check applies. A graduate who has finished the program, has an exam application pending and has never failed the NCLEX can take a $10 temporary permit valid for 6 months or until the exam, whichever comes first; it cannot be extended and ends if you fail.
- Adding the multistate license. Once you hold, or have applied for, the Indiana single-state license, the compact application costs $25 and requires the background check plus proof that Indiana is your primary state of residence (a driver's license showing your home address, a W-2, voter registration or a federal tax return) if your mailing address is outside the state. Active discipline, a nursing-related misdemeanor or a felony conviction disqualifies you. If you later move out of Indiana, the multistate privilege is deactivated and you report the change; move back and you can ask for it to be reactivated.
- Renewal. Indiana RN licenses expire on October 31 of every odd-numbered year and LPN licenses on October 31 of every even-numbered year; the renewal window opens at least 90 days before. Renewal costs $50 (plus $25 to keep the multistate privilege), and Indiana has no continuing education requirement for RN or LPN renewal. A license expired for less than three years can still be renewed online with a $50 penalty ($100 in all); after three years you reinstate for $100 and need either an active license in another state or an appearance before the Board. No background check is needed to renew.
- Nurse practitioners and CRNAs. The compact covers RNs and LPNs only. An advanced practice nurse needs an Indiana APRN license and, to prescribe, prescriptive authority, in addition to the RN license. The compact states list shows who is in and who is out, and transferring a nursing license to another state covers endorsement in detail.
Outlook for nursing roles
The BLS publishes its ten-year projections nationally, not by metro, and they apply to Indianapolis as to anywhere else. Registered nursing grows faster than the average for all occupations, nurse practitioner roles grow much faster, and the LPN and nursing-assistant occupations grow slowly but turn over heavily, which is why openings stay high. In a metro where healthcare already employs a larger share of workers than the national norm and was still hiring through a year of overall job losses, the hospital systems' expansion north into Hamilton County and south into Johnson County keeps the local pull strong.
| Occupation | National median pay (May 2025) | Projected growth, 2025-35 | Openings projected each year | Typical entry education |
|---|---|---|---|---|
| Registered nurses | $97,550 | 6% | 180,800 | Bachelor's degree |
| Nurse practitioners (with nurse anesthetists and nurse midwives) | $134,920 | 36% | 32,200 | Master's degree |
| Licensed practical nurses | $64,400 | 3% | 51,800 | Postsecondary nondegree award |
| Nursing assistants and orderlies | $41,870 | 3% | 203,300 | State-approved program and competency exam |
If you are early in your career, getting your first nursing job as a new grad and new grad RN salary by state cover the first-year questions; how travel nurse stipends work explains the weekly packages travel contracts in the metro are quoted in.
Sources
- U.S. Bureau of Labor Statistics, Midwest Information Office, Occupational Employment and Wages in Indianapolis-Carmel-Greenwood, May 2025, released 9 July 2026, read 24 October 2026.
- U.S. Bureau of Labor Statistics, Midwest Information Office, Indianapolis Area Economic Summary (average hourly wages for selected occupations, May 2025; employment by industry sector, August 2026), updated 7 October 2026, read 24 October 2026.
- U.S. Bureau of Labor Statistics, Occupational Outlook Handbook: Registered Nurses, Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners, Licensed Practical and Licensed Vocational Nurses and Nursing Assistants and Orderlies, 2025 pay and 2025-35 projections, read 24 October 2026.
- National Council of State Boards of Nursing, Nurse Licensure Compact member states map, current status, read 24 October 2026.
- Indiana Professional Licensing Agency, State Board of Nursing, Nursing licensing information (licensure by examination and endorsement, fees, temporary permits, renewal and the Nurse Licensure Compact), current, read 24 October 2026.
- Indiana Professional Licensing Agency, Criminal background checks, current, read 24 October 2026.
- Betterleap job board, open postings on hospital and health-system career sites for Indianapolis and Indiana, counted September 26, 2026.
Frequently asked questions
How much do registered nurses make in Indianapolis?
The BLS mean hourly wage for registered nurses in the Indianapolis area was $43.09 in May 2025, against $48.76 nationally, so the metro pays RNs 12% below the national mean. The national median for registered nurses is $97,550 a year ($46.90 an hour).
How many nursing jobs are there in Indianapolis?
Healthcare practitioners and technical occupations are 7.2% of the Indianapolis metro's jobs (BLS, May 2025), above the national share of 6.3%, and education and health services employed 192,500 people in the metro in August 2026. On September 26, 2026, the hospital and health-system career sites Betterleap's board follows carried 190 open healthcare postings in Indianapolis, 36 of them for RNs, and 3,853 across Indiana.
Can I work in Indianapolis with a compact nursing license?
Yes. Indiana is a member of the Nurse Licensure Compact, so a multistate RN or LPN license from any compact state (Ohio and Kentucky included) is valid in Indianapolis. Illinois and Michigan are not compact states, so a nurse living there applies to the Indiana State Board of Nursing for a license by endorsement ($50, with license verification and a fingerprint background check) and can add a $10 temporary permit valid for 90 days while it is processed.
Does Indianapolis pay nurses more or less than the national average?
Less. Registered nurses in the Indianapolis area averaged $43.09 an hour in May 2025 against $48.76 nationally, 12% below, while the metro's mean wage across all occupations ($31.34) is 7% below the national $33.54. Healthcare practitioners as a group do better, averaging $54.37 an hour against $52.26 nationally (BLS).
How much does an Indiana nursing license cost and how often is it renewed?
The application fee is $50 for an RN or an LPN, by examination or by endorsement, plus the exam registration fee for new graduates, $38.20 for the fingerprint background check, $10 for an optional temporary permit and $25 for the multistate (compact) license. Renewal is $50 every two years (RN licenses expire on October 31 of odd-numbered years, LPN licenses in even-numbered years) with no continuing education requirement; a late renewal adds a $50 penalty, and a license expired three years or more is reinstated for $100 (Indiana Professional Licensing Agency).