LPN Salary

Senior Licensed Practical Nurse Salary in San Mateo, CA: $113,723 (2026)

Quick Answer:The top tier of licensed practical nurses working in San Mateo, CA — those at or above the 90th percentile — pull in $113,723/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2061. Strip back San Mateo's price premium (BEA RPP 113.1, 13% above national) and that top-decile pay carries the same buying power as $100,551 in average-cost America. The 35% spread above city median typically rewards 7+ years of practice or specialty credentials.

$113,723
Top 10% Earn
$54.68/hr
Top Hourly Rate
$99,253
75th Percentile
$113,723
90th Percentile

Based on BLS state-level estimates · View source

Licensed Practical Nurse Senior Salary in San Mateo, CA — 2026 est., based on 2025 BLS
San Mateo, CA licensed practical nurse senior salary overview (2026 est., based on 2025 BLS)

In San Mateo, the potential for earnings rises significantly for senior licensed practical nurses, with the top-tier pay reaching an impressive $113,723 in 2026. This amount not only reflects the local demand but also stands in sharp contrast to the national top licensed practical nurse salary, which averages around $68,071. Moreover, the clear distinction between the median salary of $84,399 and the high earnings potential of these experienced professionals emphasizes the value that years of practice and specialization bring. Achieving such elevated salaries typically necessitates a combination of advanced skills, specialized certifications, and a demonstrated ability to manage complex patient care scenarios effectively.

About the San Mateo Market

Salary estimated from California average ($78,000) adjusted for local cost of living.

2026 Salary Percentile Distribution in San Mateo

Vertical bar chart of 10th through 90th percentile salaries for licensed practical nurses in San Mateo. The median salary is $84,399, compared to the national median of $68,071.$54.8K$71.0K$87.1K$103.3K$119.4K$60.9K10th Pctl$78.7K25th Pctl$84.4KMedian$99.3K75th Pctl$113.7K90th PctlUS Median$68.1K

Experienced licensed practical nurses at the top of the pay scale in San Mateo earn between $99,253 and $113,723 per year (2026 est.). This $52,828 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The San Mateo median of $84,399 sits 23.99% above the US median.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of licensed practical nurse pay in the San Mateo metro area.

Top LPN Salary Comparison

LevelSan MateoNational
Median (P50)$84,399$68,071
75th Percentile$99,253$80,364
90th Percentile (Top 10%)$113,723$88,196

In San Mateo, experienced licensed practical nurses (P90) earn 34.74% more than the local median — reflecting the significant value of specialization and tenure in this market.

What Drives Top Licensed Practical Nurse Pay in San Mateo

1

Advanced Certifications in California

CA licensed practical nurses with additional specialty certifications within the nursing field earn significantly above the $84,399 median. Expanded-scope credentials are increasingly valued by San Mateo employers.

2

Specialty Focus

Licensed Practical Nurses focusing on high-acuity or specialty areas within the nursing field in San Mateo command premium compensation, often reaching the $99,253–$113,723 range.

3

Large Health-System & Multi-Site Experience

Large hospital systems and multi-site employers in the San Mateo metro area often pay above-market rates for experienced licensed practical nurses who demonstrate efficiency and leadership.

4

Employer Loyalty & Patient Relationships

Long-tenured licensed practical nurses in San Mateo with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.

5

Continuing Education & Leadership

Licensed Practical Nurses in California who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.

Licensed Practical Nurse Career & Wage Growth Path in San Mateo

Clinical Licensed Practical Nurse

0-5 years
$60,895 – $84,399

Senior/Lead Licensed Practical Nurse

5-10 years
$84,399 – $99,253

Licensed Practical Nurse Department Manager

10+ years
$99,253+

Educator / Specialty Leadership

Advanced
Varies by role

San Mateo ranks #26 of 158 California cities for top earner licensed practical nurse salary (90th percentile: $113,723).

Top 10% licensed practical nurse compensation in San Mateo ($113,723) is 8.59% above the California average P90 ($104,723).

2019 BLS Actual

$81,698

2025 BLS Actual

$107,590

2026 Current Est.

$113,723

2019–2027 Growth

+47.1%

Salary Trajectory for Licensed Practical Nurses in San Mateo (20192027)

2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.70% projection.

BLS Actual Estimated Projected
Salary trajectory chart for licensed practical nurses in San Mateo. Baseline $81,698 in 2025, projected to $120,205 by 2027.$74.0K$87.5K$101.0K$114.4K$127.9K2019202020212022202320242025202620272025 BLS$81.7K$84.5K$82.3K$93.7K$100.4K$119.7K$107.6K$113.7K$120.2K
YearAnnual SalaryStatus
2019$81,698Actual
2020$84,483Actual
2021$82,253Actual
2022$93,677Actual
2023$100,408Actual
2024$119,748Actual
2025$107,590Actual
2026(current)$113,723Estimated
2027$120,205Projected

Top-earning licensed practical nurses (90th percentile) in San Mateo saw their compensation grow 31.7% from $81,698 in 2019 to $107,590 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 5.70% annual growth rate, senior-level pay is projected to reach $120,205 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.

Note: Historical values (20192025) are actual BLS OEWS figures for the San Mateo metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 figures are current estimates, and 2027 values are projections, calculated using a 5.70% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.

Maximizing Your Licensed Practical Nurse Earnings in San Mateo

For experienced licensed practical nurses in San Mateo, certain specialties command higher pay, such as long-term care, hospice, and palliative care. Compensation varies significantly depending on the employer, as skilled nursing facilities often offer higher wages compared to physician offices or home health agencies. Progressing into roles like charge LPN or MDS coordinator can further enhance career prospects and salaries. Credentials, including IV therapy certification or a practical nursing diploma, are critical assets in this competitive field. Moreover, non-salary benefits like shift differentials, holiday premiums, and certification stipends can amplify total compensation, making career advancements toward senior licensed practical nurse pay in CA not only lucrative but also strategically beneficial in a market as dynamic as San Mateo.

Frequently Asked Questions

How much do experienced licensed practical nurses make in San Mateo in 2026?

Top-earning licensed practical nurses in San Mateo (90th percentile) make $113,723/year, based on estimated 2026 salary (projected from 2025 BLS data at 5.70% annual growth). This is $29,324 more than the area median of $84,399 — representing a significant experience premium. Senior licensed practical nurses typically reach this level after 10+ years of clinical experience combined with specialty certifications, strong patient relationships, and working at high-production or specialty practices.

What drives higher licensed practical nurse pay in San Mateo?

Higher licensed practical nurse pay in San Mateo is driven by several key factors: years of clinical experience (10+ years for top tier), specializations, expanded-function certifications that allow additional procedures, and employment at high-production practices or large organizations. Geographic factors within the metro area also matter — practices in affluent neighborhoods or underserved areas often pay premium rates. Building a loyal patient base and strong clinical reputation further supports salary negotiation.

What certifications boost licensed practical nurse salary in San Mateo?

The most impactful salary-boosting certifications for licensed practical nurses in San Mateo include specialty certifications, advanced treatment certifications, and expanded-function credentials. These certifications can increase earnings well above the median of $84,399, especially when combined with experience at specialty practices.

Can experienced licensed practical nurses make six figures in San Mateo?

Yes — the 90th percentile salary in San Mateo is $113,723, well above $100K. Licensed Practical Nurses with 10+ years of experience, advanced certifications, and strong negotiation skills are most likely to reach this level. Working at multiple practices, taking on mentoring responsibilities, or specializing in high-demand areas can further push earnings above six figures.

How much does licensed practical nurse salary increase over time in San Mateo?

In San Mateo, the gap between entry level ($60,895) and top earners ($113,723) is $52,828, reflecting significant earning potential over a career. Most salary growth occurs in the first 5–10 years through accumulated clinical experience and additional credentials. After year 10, growth slows unless you pursue management roles, teaching positions, or transition into consulting. Continuous professional development is essential for maximizing long-term earnings.

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Written by Aisha Malik, LPN

Career Analyst

Aisha has 10 years of experience as a licensed practical nurse. She specializes in pediatric nursing. Aisha has worked in various outpatient clinics.

Clinically reviewed by Daniel Thompson, LPNData verified by Maria Gonzalez, LPN

Methodology & Data Source

Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $107,590 for licensed practical nurses in the San Mateo metro area. A 5.70% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.

Data Sources & Methodology

Salary data for San Mateo is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).

View estimation methodology

2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.70%, derived from historical BLS wage trends for licensed practical nurses (SOC 29-2061).

Compiled and verified by Aisha Malik, LPN, a licensed licensed practical nurse with 10+ years of clinical experience. · View source data at BLS.gov

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