NP Salary (independent practice vs. nonindependent)

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This is all possible due to the relative paucity of mental health providers. In the case of medical providers this would also be possible but there are relatively more providers so it would be easier to find a provider that takes insurance with less out of pocket expense.
Thanks, David. Makes sense.
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i'm a therapeutically minded 40 year old with an entrepreneurial spirit. becoming licensed as a marriage and family therapist in ny this summer i'm considering my options going forward.

while developing a part time private practice my intention is to return to school part time to become a psychiatric nurse practitioner offering me the ability to prescribe by incorporating medication management into my therapy practice as a value added service with clients that need it.

this would require doing a year of prerequisite course work prior to entering nursing school. by my conservative estimates it's a 5-7 year investment of time before i'm in private practice with prescriptive authority in addition to incurring a fair amount of debt with student loans.

in researching the costs and benefits of this plan i wanted to reach out to the community and satisfy my curiosity by hearing from others who might be able to share their own valuable experiences or insights.

i would highly appreciate any feedback, advice or thoughts you might have.

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cardiology ep np, please email me at your earliest convenience. thanks!

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cardiology ep np is one of many making well into 6 digits. there are so many opportunities out there to financially succeed far greater than what np's are "averaging". an np interested in starting their own practice must first be prepared financially to take advantage of the many opportunities available. we all need to stop taking $40/hr and allowing so many middle men to take what we have earned. demand to know what revenues you are generating and just watch your employer's reaction!

i was the only np in a 4 provider practice. (3 docs and 1 np). it took me about a month to crunch all the numbers that were available but i was seeing 35% more patients than the average of the 3 docs. most of my patients were acutely ill and had higher billing averages. so do you think i was making 35% more than the docs? they all had the ability to earn their way into partnership. when asked for the same i was told no. when confronted with the revenue information their faces went flat. they worked no weekends. i worked every other weekend and had another part time np work the other two. they went home every night at 5pm. i often went home late as i had the acutely ill patients. their response was $110,000/year was better than most np's. mine was "how much do you guys make working and generating less revenue?" their final response was "that's the best we can do." i'm no longer there and working on getting my own medicare and private insurance credentialing. my best friend is make well over $200k/yr with his own practice working less than 40 hrs/week.

with so many studies demonstrating np's having equal or better patient outcomes, usually greater patient satisfaction and therapy compliance why would we expect less? wait and watch how many states will change to allowing np's independent practice after the 2015 change to all dnp education programs. with 12 years of np practice i've experienced countless experiences of unfair practice boundaries and have been taken advantage of by so many employers and physicians. i hope many of my np colleagues will stand up and take control of their own practice and refuse to be taken advantage of financially any longer!

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Specializes in L&D, QI, Public Health.
cardiology ep np is one of many making well into 6 digits. there are so many opportunities out there to financially succeed far greater than what np's are "averaging". an np interested in starting their own practice must first be prepared financially to take advantage of the many opportunities available. we all need to stop taking $40/hr and allowing so many middle men to take what we have earned. demand to know what revenues you are generating and just watch your employer's reaction!

i was the only np in a 4 provider practice. (3 docs and 1 np). it took me about a month to crunch all the numbers that were available but i was seeing 35% more patients than the average of the 3 docs. most of my patients were acutely ill and had higher billing averages. so do you think i was making 35% more than the docs? they all had the ability to earn their way into partnership. when asked for the same i was told no. when confronted with the revenue information their faces went flat. they worked no weekends. i worked every other weekend and had another part time np work the other two. they went home every night at 5pm. i often went home late as i had the acutely ill patients. their response was $110,000/year was better than most np's. mine was "how much do you guys make working and generating less revenue?" their final response was "that's the best we can do." i'm no longer there and working on getting my own medicare and private insurance credentialing. my best friend is make well over $200k/yr with his own practice working less than 40 hrs/week.

with so many studies demonstrating np's having equal or better patient outcomes, usually greater patient satisfaction and therapy compliance why would we expect less? wait and watch how many states will change to allowing np's independent practice after the 2015 change to all dnp education programs. with 12 years of np practice i've experienced countless experiences of unfair practice boundaries and have been taken advantage of by so many employers and physicians. i hope many of my np colleagues will stand up and take control of their own practice and refuse to be taken advantage of financially any longer!

bravo!!:nurse::yeah::up:

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cardiology ep np is one of many making well into 6 digits. there are so many opportunities out there to financially succeed far greater than what np’s are “averaging”. an np interested in starting their own practice must first be prepared financially to take advantage of the many opportunities available. we all need to stop taking $40/hr and allowing so many middle men to take what we have earned. demand to know what revenues you are generating and just watch your employer’s reaction!

i was the only np in a 4 provider practice. (3 docs and 1 np). it took me about a month to crunch all the numbers that were available but i was seeing 35% more patients than the average of the 3 docs. most of my patients were acutely ill and had higher billing averages. so do you think i was making 35% more than the docs? they all had the ability to earn their way into partnership. when asked for the same i was told no. when confronted with the revenue information their faces went flat. they worked no weekends. i worked every other weekend and had another part time np work the other two. they went home every night at 5pm. i often went home late as i had the acutely ill patients. their response was $110,000/year was better than most np's. mine was "how much do you guys make working and generating less revenue?" their final response was "that's the best we can do." i'm no longer there and working on getting my own medicare and private insurance credentialing. my best friend is make well over $200k/yr with his own practice working less than 40 hrs/week.

with so many studies demonstrating np's having equal or better patient outcomes, usually greater patient satisfaction and therapy compliance why would we expect less? wait and watch how many states will change to allowing np's independent practice after the 2015 change to all dnp education programs. with 12 years of np practice i've experienced countless experiences of unfair practice boundaries and have been taken advantage of by so many employers and physicians. i hope many of my np colleagues will stand up and take control of their own practice and refuse to be taken advantage of financially any longer!

i have to say, this is a very informative and inspirational post for me as a pmhnp student! in your opinion, what should i (& others in my situation) be doing now to improve employment opportunities and conditions after graduation? i would definitely like to learn from whatever "pitfalls" you have encountered.

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Specializes in Nephrology, Cardiology, ER, ICU.

Since the OP deleted the first post, I will close this thread.

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