Physicians see huge dollar signs when we walk in the door.
"Here is someone I can work like a dog, and they'll generate 300 or 400k in billing, but not mind working for 100k".
I actually got a big pay cut after working for a psychiatrist for several years.
It was going fairly well, we were starting to get relatively busy.
Even though she knew that our "show rate" for appointments was about 70%, pretty average in the field, I was told that I could not book more than 2 patients an hour.
Many of them had a therapist, and some only wanted to stop by to pick up their scripts.
So over night, I went from seeing about 3 patients an hour, to seeing about 1.5. And I was paid by the patient, on the basis of the reimbursement, and not by the hour.
A 50% pay cut, and I immediately resigned.
Anyway, it is unlikely that you will start a job, any job, not just NP, at a given pay rate, and ever get much more than a cost of living raise unless you get a large promotion.
There are a few exceptions.
On average, employers tend to offer the minimum amount needed to keep you.
That being said, I do see NP salaries rising in some areas.
Possibly because folks did the math, and realized that it wasn't worth it to go from RN to NP with a 600 dollar loan payment and a raise of maybe 10k.