NP pay mid-career

Specialties NP

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Just curious.What is average pay be like 5 to 7 years experience especially in Texas area?I am asking for FNPs,AGNP and Hospitalist

True, but your degree has cost you an arm and a leg, time-wise, physically and emotionally.

Some people make it work for them, and some don't.

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Specializes in Family Nurse Practitioner.
Obviously we should push our boundaries, but don't want to push so hard we aren't the cost savings they or the general public was hoping for.

Working for low rates upon graduation, if you are prepared to practice, is not a sound strategy. It makes no sense if they aren't paying for a lengthy orientation which in my case they did not. They aren't billing less for you so why would you agree to work for less? There is a huge increase in responsibility and liability as a NP so our wages should far surpass what we made as a RN.

I will push as hard as I can as long as there is a demand, which is coming to a screeching halt, with the NP saturation. My psychiatrist colleagues are making over $300,000 I have no shame about making $200,000 which compared to MDs is still significant cost savings.

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Thank you, Jules.

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It varies widely among NPs of all experience levels. As of right now I am making $80,000 a year more than someone from my graduating class. In my opinion although there are geographic location and specialty implications the biggest variables are whether the person is business minded, willing to negotiate and or walk if employers don't value their worth.

OMG! You make $80,000 more than someone from your graduating class, and with 14 years experience I make $85,000/year! I need to move to Texas!

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200k+/ yr w/ full benefits.

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Hey djmatte, I work a benefitted position in the ICU float pool on weekend nights and pull in $51/hr. I have 403 match and full benefits. I have 14 experience as an RN. It is possible to make 95K per year as a "regular" RN. Also, this is in NC. Yeah I give up my weekends but I have grown to love the schedule and my pay. 3-12's and I'm done!

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What state? I am considering applying to NP school and and extremely interested in psych NP route. I work years ago inpatient and am considering heading back that direction as an NP. Any thoughts or advice would be appreciated? Thanks

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Hey djmatte, I work a benefitted position in the ICU float pool on weekend nights and pull in $51/hr. I have 403 match and full benefits. I have 14 experience as an RN. It is possible to make 95K per year as a "regular" RN. Also, this is in NC. Yeah I give up my weekends but I have grown to love the schedule and my pay. 3-12's and I'm done!

I get that and like I said, you are factoring in shift food and probably some form of pay bump because it's a highly specialized area plus a float position. You're also working a shift many won't. But change that to a day shift and your base pay drops dramatically.

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Specializes in Internal Medicine.
Just curious.What is average pay be like 5 to 7 years experience especially in Texas area?I am asking for FNPs,AGNP and Hospitalist

Texas is a huge area and it varies a lot.

I graduated in 2014 so I'm not quite "mid-career", but I do live in Texas and know salaries for some of the fields you asked about. My first job paid about 90k a year and I got a productivity bonus of nearly $25k, so total of $115k. This was working in primary care, adults only, with some SNF rounding thrown in. (I live in El Paso)

I currently work as a hospitalist in Southern New Mexico (still live in Texas), and make almost $200k a year with bonuses thrown in. My friends doing hospitalist work in El Paso make about $135k base with some light RVU bonuses thrown in quarterly.

I was offered a position with my same company in San Antonio before I took my current position, and they only paid $120k a year for hospitalist work.

I also recently considered a primary care job in Austin, and they eventually offered me $150k a year, but really low balled me to start at $105k. They told me they wanted me to see 25-30 patients a day, and when I showed them average reibursement rates for the area, and what I had earned doing some 1099 work for my first employer, I basically told them they were crazy for such a low offer at that high volume. They tried telling me NP's were a dime a dozen in Austin, which may be true, and when I told them "well, good luck with that", and declined the offer, a day later they came back with the higher offer. Definitely pays to know how much the volume they expect to you is worth.

Texas as a whole probably pays better than the country as a whole, and West Texas pays better than the rest of the state. Even physicians I work with as a hospitalist will live in Houston or Dallas, and fly to El Paso every other week since our market pays a lot more for healthcare providers in general.

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Unfortunately due to oversupply of low-skilled NPs from mediocre online schools,Salary has stalled.I have seen their salaries in 80s and 90s the maximum.With reports of further oversupply,I guess it is going to go downhill from here.They will find jobs but with below 100k even with experience.

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Really bad, and what state is this, if I may ask?

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Kansas and bible states

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