Excessive nitrate loading from agricultural runoff leads to substantial environmental and economic harm, and although hydrological models are used to mitigate these effects, the influence of various satellite precipitation products (SPPs) on nitrate load simulations is often overlooked. This study addresses this research gap by evaluating the impacts of using different satellite precipitation products—ERA5, IMERG, and gridMET—on flow and nitrate load simulations with the Soil and Water Assessment Tool Plus (SWAT+), using the Tar-Pamlico watershed as a case study. Although agricultural activities are higher in the summer, this study found the lowest nitrate load during this season due to reduced runoff. In contrast, the nitrate load was higher in the winter because of increased runoff, highlighting the dominance of water flow in driving riverine nitrate load. This study found that although IMERG predicts the highest annual average flow (120 m3/s in Pamlico Sound), it unexpectedly results in the lowest annual average nitrate load (1750 metric tons/year). In contrast, gridMET estimates significantly higher annual average nitrate loads (3850 metric tons/year). This discrepancy underscores the crucial impact of rainfall datasets on nitrate transport predictions and highlights how the choice of dataset can significantly influence nitrate load simulations.