What is your take home pay as Nurse Practitioner?

Hi everyone. I'm curious as to see what an actual paycheck (before taxes) looks like from an NP. I find salary websites to be not very helpful. So...

What type NP are you?

Where (state)(rural/urban) do you practice?

Are you independent or in a group?

How many years experience?

What is your before tax paycheck amount?

Monthly or bi-weekly?

Salary/hourly/other(explain)?

Avg hours on check?

What are the perks of your contract? (ie. PTO/vacation/bonuses)

I know this is very personal, but if you are able to provide input, I would appreciate it! I'm mainly interested also to see after the gov/operational costs etc have taken their share, how much are you left with?

[GoodNP]

I thought most FNPs were making around $120,000 and in consideration of the 552 hours of overtime that sounds low to me.

First, let me say that if I am underpaid then I definitely want to know so I can rectify the situation! However, I'm not convinced that I am.

There are many sources out there reporting NP & PA salaries, and these are just a few.

According to this report, my salary is above average in my home state of Texas, although well below the top 10%.

Nurse Practitioner Salary by State | 2

[djmatte, ADN, MSN, RN, NP]

First, let me say that if I am underpaid then I definitely want to know so I can rectify the situation! However, I'm not convinced that I am.

There are many sources out there reporting NP & PA salaries, and these are just a few.

According to this report, my salary is above average in my home state of Texas, although well below the top 10%.

Nurse Practitioner Salary by State | 217 NurseJournal.org

According to this report, national average NP salary in family practice is only $100,899. And in all other categories in this survey, my salary exceeds the national average.

217 nurse practitioner and physician assistant salary survey

I can't speak to the accuracy of these reports, or their sampling methods, etc. However, after skimming over them, many of the above posters seem to enjoy exceptionally high salaries. The PMHNPs definitely have the financial advantage!

So, anyway now I am really perplexed as to whether I should be asking for more money lol...

It's all perspective. It can fluctuate with where you work just as much as who you work for. I like this thread for gauging where I should shoot for-profit but if the bills are paid and my lifestyle of positively impacted, then I'm generally happy.

[Jules A, MSN]

First, let me say that if I am underpaid then I definitely want to know so I can rectify the situation! However, I'm not convinced that I am.

There are many sources out there reporting NP & PA salaries, and these are just a few.

According to this report, my salary is above average in my home state of Texas, although well below the top 10%.

Nurse Practitioner Salary by State | 217 NurseJournal.org

According to this report, national average NP salary in family practice is only $100,899. And in all other categories in this survey, my salary exceeds the national average.

217 nurse practitioner and physician assistant salary survey

I can't speak to the accuracy of these reports, or their sampling methods, etc. However, after skimming over them, many of the above posters seem to enjoy exceptionally high salaries. The PMHNPs definitely have the financial advantage!

So, anyway now I am really perplexed as to whether I should be asking for more money lol...

I have no idea what your area will support but the first thing that stuck out is it doesn't appear you are even being compensated with 1.5 time for your hours over 40.

If you haven't networked with your local peers you don't have the information you need. The salary estimates have always been useless to me. My base is over $65,000 more than the NP-PA survey for my specialty and $49,000 more than the figure listed as top 10% in my state. Due to working off hours and taking extra call my actual gross is $95,000 and $79,000 more than the salaries in those links. Knowing what my fellow NPs and physician colleagues are making has been invaluable to negotiate a top rate.

[DrZaphod, BSN, MSN, DNP, RN, NP]

I don't want to make you feel badly about your work, but around $50 per hour is definitely underpaid. I made that as an RN in 2005.

Texas, Missouri, and Florida are unfortunately completely physician controlled and difficult environments for NPs. One really can't base pay on salaries. As this thread has detailed, NP salaries are extremely low. If you actually saw the superbills and reimbursement you were pulling in for the practice, you would be astounded. While many insurances do reimburse NPs lower than physicians, the discrepancy is not that large in most cases.

One patient an hour would pull in at minimum about $65 for a typical outpatient visit. Obviously, reimbursement fees are difficult to pin down, because they vary by insurance, state, and even individual outpatient practice.

The takeaway is to remember that NP salaries are arbitrary and artificially low. Why would an NP make $125,000 and a physician $275,000+ if the difference in reimbursement is so low? Then one looks at practices which also take cash patients and there is absolutely no difference. The physician who owns the practice is literally siphoning all the money the NP made for the practice. In return, the NP ends up with perhaps 30% of their gross billing.

[PMHNP Student 2021]

On 9/28/2013 at 1:02 PM, DrZaphod said:

NP's should never accept salaries. Work for yourself or bill insurance directly or through your physician collaborator/supervisor if needed. Salaries are very low because the MD/DOs take a huge cut. It takes more work, but will be worth it to only work for $100 or more hourly or fee for service. If we all do this, we will make great strides.

What type NP are you? Psychiatry

Where (state)(rural/urban) do you practice? CA/Urban

Are you independent or in a group? Independent w/ physician "supervision"

How many years experience? 5

What is your before tax paycheck amount? 15k every two weeks if lucky, sometimes only 20k monthly

Monthly or bi-weekly? Bi-weekly

Salary/hourly/other(explain)? Through employer it is per-patient, consulting varies, $1600 for a 2 hour evaluation at one place, others I do not accept less than $100/hourly

Avg hours on check? 40

What are the perks of your contract? (ie. PTO/vacation/bonuses) Don't have one

YOU ARE AMAZING!  Thanks for sharing this very important information

"NP's should never accept salaries. Work for yourself or bill insurance directly or through your physician collaborator/supervisor if needed. Salaries are very low because the MD/DOs take a huge cut. It takes more work, but will be worth it to only work for $100 or more hourly or fee for service. If we all do this, we will make great strides."

8 Years ago you were making 15K every 2 weeks.  AMAZING!  How are you doing now?

[SVDNP]

What type NP are you? Adult/Geri Primary, work in outpatient neuro subspecialty

Where (state)(rural/urban) do you practice? city in Northern IL (not Chicago or suburbs)

Are you independent or in a group? Group

How many years experience? 10 as an RN, <1 as NP

What is your before tax paycheck amount? $4159

Monthly or bi-weekly? Bi-weekly

Salary/hourly/other(explain)? $108136. Will switch to RVU-based when I'm off the guaranteed salary. MY pay should go up.

Avg hours on check? 80

What are the perks of your contract? (ie. PTO/vacation/bonuses) 3 weeks PTO/vacation, 6% annual productivity bonus, 1 week/$2500 CME, all licensing expenses and malpractice paid.  The biggest perk for me is the lack of take-home work. My charts are mostly finished before I leave for the day, or at most I stay 20 minutes or so after clinic to finish up. That's why I chose the job.

[NYC-NP87, MSN, APRN, NP]

What type NP are you? PMHNP

Where (state)(rural/urban) do you practice? NYC

Are you independent or in a group? Group

How many years experience? 3 years as a Primary Care NP, and 1 year as a PMHNP

What is your before tax paycheck amount? Average 15k a month on 1099, I can make unto 20-22K a month depending on how much I want to work. 

Monthly or bi-weekly? Biweekly 7-8k

Salary/hourly/other(explain)? Per patient rate

Avg hours on check? based on 35 hr work week

What are the perks of your contract? (ie. PTO/vacation/bonuses) None, as I am an independent contractor. I enjoy making the $ while I'm young and do not have any health needs. Also helps that I am getting health insurance through my college while also in the DNP program. 

[umbdude, MSN, APRN]

2 hours ago, NYC-NP87 said:

What type NP are you? PMHNP

Where (state)(rural/urban) do you practice? NYC

Are you independent or in a group? Group

How many years experience? 3 years as a Primary Care NP, and 1 year as a PMHNP

What is your before tax paycheck amount? Average 15k a month on 1099, I can make unto 20-22K a month depending on how much I want to work. 

Monthly or bi-weekly? Biweekly 7-8k

Salary/hourly/other(explain)? Per patient rate

Avg hours on check? based on 35 hr work week

What are the perks of your contract? (ie. PTO/vacation/bonuses) None, as I am an independent contractor. I enjoy making the $ while I'm young and do not have any health needs. Also helps that I am getting health insurance through my college while also in the DNP program. 

If your average 1-year 1099 salary is $180k. What's your "after tax" earning over 1 year? How many weeks do you take off? 

[NYC-NP87, MSN, APRN, NP]

20 minutes ago, umbdude said:

If your average 1-year 1099 salary is $180k. What's your "after tax" earning over 1 year? How many weeks do you take off? 

I do make sure to take atleast 3 weeks off in a year. I have my own S Corp, so don’t pay as much in taxes, I get full paycheck in my acct. by end of the year, how much I pay is dependent on what my costs were. But I can assure you, its alot less in taxes than 

I would be paying as a W2 employee. 

[midwestFNP]

What type NP are you? FNP

Where (state)(rural/urban) do you practice? Rural family practice/urgent care with attached dental clinic (20 minutes away from the 3rd largest city in the state)

Are you independent or in a group? Group

How many years experience? 6 months as NP, 5 years as RN

What is your before tax paycheck amount? between $3K and $3,500

Monthly or bi-weekly? bi-weekly

Salary/hourly/other(explain)? hourly

Avg hours on check? 40-45

What are the perks of your contract? (ie. PTO/vacation/bonuses) $2K annual education allowance, 5 paid days for education time,paid memberships to one local and one national NP organization, NHSC eligible site for student loan reimbursement, medical and dental insurance, uniform reimbursement, retirement plan, 3 weeks vacation to start, all licensing fees and malpractice paid by employer, bi-weekly production bonuses on the opposite week of payroll checks, free medical and dental services at the clinic for myself and my family

[Corey Narry, MSN, RN, NP]

Type of NP: ACNP

Rural or Urban: urban, large academic medical center

Independent or Group: ICU group in a state where physician-NP collaboration is required

Years of Experience: 10 as an NP, over 20 including RN

Before Tax Pay: between 150-200K base per year

Monthly or Bi-weekly: bi-weekly

Salary/Hourly: hourly

Average hours per check: 72 bi-weekly for base pay, overtime for anything over

Perks: state pension plan, 403B, full medical/dental/vision, PTO accrual, tuition discount up to 75% at affiliated university, malpractice coverage, educational discounts at affiliated school of medicine and nursing, overtime/shift differential/holiday pay, etc.

[nomadcrna, DNP, CRNA, NP]

• What type NP are you? FNP/CRNA
  
• Where (state)(rural/urban) do you practice? Rural
  
• Are you independent or in a group? Independent
  
• How many years experience? 22
  
• What is your before tax paycheck amount? $165k per year
  
• Monthly or bi-weekly? Biweekly
  
• Salary/hourly/other(explain)? salary
  
• Avg hours on check? Usually average 35 hours a week
  
• What are the perks of your contract? (ie. PTO/vacation/bonuses) 3500 cme, 10 day cme, 2% yearly bonus, 1500 license fees, 23 days PTO, malpractice reimbursement, full medical/dental/vision, retirement with matching, vested after 5 years.