Nitrogen is a key macronutrient for the quantitative and qualitative yield of grapes; in addition, it influences the development and reproduction of grape pests. The multiple effects of different nitrogen rates were investigated on the red berry cultivar ‘Carignano’ and the grape pest Planococcus ficus in a two-year field trial. Different amounts of ammonium nitrate were compared: 0, 80 and 160 Units ha−1 for mineral nitrogen. The amount of nitrogen fertilization supplied influenced the nitrogen status of vines and increased the pruning weight and leaf area, as well as the overall grape yield, by increasing the cluster weight. However, doubling the nitrogen rate did not generally increase the vegetative and productive parameters of grapevines. At harvest, nitrogen supply did not influence the anthocyanin content, tritatable acidity, and soluble solids, although the latter parameter showed a clear, yet not significant, decreasing trend. Planococcus ficus exhibited higher fecundity, survival and shorter development time on grapevines provided with nitrogen, whereas its fertility was unaffected by nitrogen fertilization. Ultimately, nitrogen had a direct and positive effect on grape yield and vine mealybug development, highlighting the importance of integrated cultural and pest control practices to promote grape production.