Iowa · VA nurse locality pay · 2026
VA nurse pay scale, Des Moines, IA (station 636-D)
The Department of Veterans Affairs pays nurses on Title 38 locality pay schedules that each medical center sets for its own labor market. These are this station's schedules as the VA publishes them, grade by step, with a calculator.
- VA station 636-D sets nurse locality pay for Des Moines, IA, Carroll, IA, Marshalltown, IA, Fort Dodge, IA, Mason City, IA, Altoona, IA.
- Registered nurses (RN) on this station's base schedules earn $67,041 at Nurse I, step 1 up to $134,430 at the top of the highest grade, per the VA's nurse locality pay file (effective ).
- Advanced practice registered nurses (APRN: nurse practitioners and other APRNs) earn $117,353 to $170,125.
- The station also publishes 9 specialty and supervisory schedules (operating room, critical care, managers and others), summarised in the table below.
- Data current as of 3 Sept 2026 in the VA's national nurse locality pay spreadsheet. Locality pay is already built into these rates.
Registered nurse locality pay schedule N0J7, Marshalltown, IA
| Step \ Grade | Nurse I | Nurse II | Nurse III |
|---|---|---|---|
| 1 | $71,421 | $84,126 | $91,759 |
| 2 | $73,563 | $86,649 | $94,511 |
| 3 | $75,705 | $89,172 | $97,263 |
| 4 | $77,847 | $91,695 | $100,015 |
| 5 | $79,989 | $94,218 | $102,767 |
| 6 | $82,131 | $96,741 | $105,519 |
| 7 | $84,273 | $99,264 | $108,271 |
| 8 | $86,415 | $101,787 | $111,023 |
| 9 | $88,557 | $104,310 | $113,775 |
| 10 | $90,699 | $106,833 | $116,527 |
| 11 | $92,841 | $109,356 | $119,279 |
| 12 | $94,983 | $111,879 | $122,031 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $73,563 | +$2,142 |
| 3 | $75,705 | +$4,284 |
| 4 | $77,847 | +$6,426 |
| 5 | $79,989 | +$8,568 |
| 6 | $82,131 | +$10,710 |
Worked example as rendered: Nurse I, step 1 = $71,421 a year, $5,951.75 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule N0J7 for VA station 636-D, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Registered nurse locality pay schedule NH09, Lucas, IA, Altoona, IA, Ankeny, IA, Brooklyn, IA and 11 more
| Step \ Grade | Nurse I | Nurse II | Nurse III |
|---|---|---|---|
| 1 | $72,383 | $85,413 | $101,078 |
| 2 | $74,554 | $87,975 | $104,110 |
| 3 | $76,725 | $90,537 | $107,142 |
| 4 | $78,896 | $93,099 | $110,174 |
| 5 | $81,067 | $95,661 | $113,206 |
| 6 | $83,238 | $98,223 | $116,238 |
| 7 | $85,409 | $100,785 | $119,270 |
| 8 | $87,580 | $103,347 | $122,302 |
| 9 | $89,751 | $105,909 | $125,334 |
| 10 | $91,922 | $108,471 | $128,366 |
| 11 | $94,093 | $111,033 | $131,398 |
| 12 | $96,264 | $113,595 | $134,430 |
| 13 | $98,435 | $116,157 | |
| 14 | $100,606 | $118,719 | |
| 15 | $102,777 | $121,281 | |
| 16 | $104,948 | $123,843 | |
| 17 | $107,119 | ||
| 18 | $109,290 | ||
| 19 | $111,461 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $74,554 | +$2,171 |
| 3 | $76,725 | +$4,342 |
| 4 | $78,896 | +$6,513 |
| 5 | $81,067 | +$8,684 |
| 6 | $83,238 | +$10,855 |
Worked example as rendered: Nurse I, step 1 = $72,383 a year, $6,031.92 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NH09 for VA station 636-D, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Registered nurse locality pay schedule NH31, Fort Dodge, IA, Mason City, IA
| Step \ Grade | Nurse I | Nurse II | Nurse III |
|---|---|---|---|
| 1 | $67,041 | $78,883 | $91,491 |
| 2 | $69,052 | $81,249 | $94,235 |
| 3 | $71,063 | $83,615 | $96,979 |
| 4 | $73,074 | $85,981 | $99,723 |
| 5 | $75,085 | $88,347 | $102,467 |
| 6 | $77,096 | $90,713 | $105,211 |
| 7 | $79,107 | $93,079 | $107,955 |
| 8 | $81,118 | $95,445 | $110,699 |
| 9 | $83,129 | $97,811 | $113,443 |
| 10 | $85,140 | $100,177 | $116,187 |
| 11 | $87,151 | $102,543 | $118,931 |
| 12 | $89,162 | $104,909 | $121,675 |
| 13 | $91,173 | $107,275 | |
| 14 | $93,184 | $109,641 | |
| 15 | $95,195 | $112,007 | |
| 16 | $97,206 | $114,373 | |
| 17 | $99,217 | ||
| 18 | $101,228 | ||
| 19 | $103,239 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $69,052 | +$2,011 |
| 3 | $71,063 | +$4,022 |
| 4 | $73,074 | +$6,033 |
| 5 | $75,085 | +$8,044 |
| 6 | $77,096 | +$10,055 |
Worked example as rendered: Nurse I, step 1 = $67,041 a year, $5,586.75 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NH31 for VA station 636-D, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Registered nurse locality pay schedule NP14, Carroll, IA, Lake City, IA
| Step \ Grade | Nurse I | Nurse II | Nurse III |
|---|---|---|---|
| 1 | $73,837 | $84,912 | $92,675 |
| 2 | $76,052 | $87,459 | $95,455 |
| 3 | $78,267 | $90,006 | $98,235 |
| 4 | $80,482 | $92,553 | $101,015 |
| 5 | $82,697 | $95,100 | $103,795 |
| 6 | $84,912 | $97,647 | $106,575 |
| 7 | $87,127 | $100,194 | $109,355 |
| 8 | $89,342 | $102,741 | $112,135 |
| 9 | $91,557 | $105,288 | $114,915 |
| 10 | $93,772 | $107,835 | $117,695 |
| 11 | $95,987 | $110,382 | $120,475 |
| 12 | $98,202 | $112,929 | $123,255 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $76,052 | +$2,215 |
| 3 | $78,267 | +$4,430 |
| 4 | $80,482 | +$6,645 |
| 5 | $82,697 | +$8,860 |
| 6 | $84,912 | +$11,075 |
Worked example as rendered: Nurse I, step 1 = $73,837 a year, $6,153.08 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NP14 for VA station 636-D, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Registered nurse locality pay schedule NP16, Hamilton, IA
| Step \ Grade | Nurse I | Nurse II | Nurse III |
|---|---|---|---|
| 1 | $70,099 | $82,508 | $89,995 |
| 2 | $72,201 | $84,983 | $92,694 |
| 3 | $74,303 | $87,458 | $95,393 |
| 4 | $76,405 | $89,933 | $98,092 |
| 5 | $78,507 | $92,408 | $100,791 |
| 6 | $80,609 | $94,883 | $103,490 |
| 7 | $82,711 | $97,358 | $106,189 |
| 8 | $84,813 | $99,833 | $108,888 |
| 9 | $86,915 | $102,308 | $111,587 |
| 10 | $89,017 | $104,783 | $114,286 |
| 11 | $91,119 | $107,258 | $116,985 |
| 12 | $93,221 | $109,733 | $119,684 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $72,201 | +$2,102 |
| 3 | $74,303 | +$4,204 |
| 4 | $76,405 | +$6,306 |
| 5 | $78,507 | +$8,408 |
| 6 | $80,609 | +$10,510 |
Worked example as rendered: Nurse I, step 1 = $70,099 a year, $5,841.58 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NP16 for VA station 636-D, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Advanced practice registered nurse (APRN) locality pay schedule N0J6, Marshalltown, IA
| Step \ Grade | Nurse II | Nurse III |
|---|---|---|
| 1 | $117,353 | $127,918 |
| 2 | $120,873 | $131,755 |
| 3 | $124,393 | $135,592 |
| 4 | $127,913 | $139,429 |
| 5 | $131,433 | $143,266 |
| 6 | $134,953 | $147,103 |
| 7 | $138,473 | $150,940 |
| 8 | $141,993 | $154,777 |
| 9 | $145,513 | $158,614 |
| 10 | $149,033 | $162,451 |
| 11 | $152,553 | $166,288 |
| 12 | $156,073 | $170,125 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $120,873 | +$3,520 |
| 3 | $124,393 | +$7,040 |
| 4 | $127,913 | +$10,560 |
| 5 | $131,433 | +$14,080 |
| 6 | $134,953 | +$17,600 |
Worked example as rendered: Nurse II, step 1 = $117,353 a year, $9,779.42 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule N0J6 for VA station 636-D, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Specialty and supervisory schedules
Step 1 of each grade and the highest cell on each schedule. Each is a separate locality pay schedule, set by the station alongside the base RN schedule.
| Schedule | Nurse I step 1 | Nurse II step 1 | Nurse III step 1 | Top cell |
|---|---|---|---|---|
| RN,Mgr/Head Nurse N083 · Carroll, IA | $75,173 | $88,702 | $100,469 | $133,623 |
| RN Facility RNTTP Coordinator N0CJ · Des Moines, IA | $79,189 | $93,434 | $110,250 | $146,627 |
| RN,Mgr/Head Nurse N0J8 · Marshalltown, IA | $81,070 | $96,083 | $104,995 | $139,634 |
| RN - Supv Prog Mgr/Coord N0M8 · Des Moines, IA | $86,167 | $99,092 | $130,839 | $174,014 |
| RN - Mgr/Head Nurse NH20 · Des Moines, IA, Waukee, IA | $79,905 | $117,857 | $128,465 | $170,848 |
| RN - Shift Supervisor NH21 · Des Moines, IA | $81,520 | $94,350 | $104,620 | $139,138 |
| RN - Mgr/Head Nurse NH30 · Fort Dodge, IA, Mason City, IA | $80,899 | $95,455 | $110,533 | $146,998 |
| RN - Nurse Executive NN52 · Altoona, IA, Ankeny, IA, Des Moines, IA +3 | – | – | – | $228,000 |
| RN - Mgr/Head Nurse NP18 · Knoxville, IA | $84,718 | $99,926 | $109,195 | $145,220 |
Questions people ask
How much does the VA pay registered nurses in Des Moines, IA?
On station 636-D's base RN schedules, from $67,041 (Nurse I, step 1) to $134,430 at the top of the highest grade, effective August 23, 2026. The grade and step are set at hiring from education and experience under the VA's nurse qualification standard.
How much does the VA pay nurse practitioners in Des Moines, IA?
$117,353 to $170,125 on the station's advanced practice RN schedules.
Other VA stations in Iowa
All stations: VA nurse pay by location. Federal General Schedule and locality tables: federal pay.