NP Salary/Pay Let's Be Transparent

Transparency is important so we can negotiate. As a new grad nurse practitioner I accepted a ridiculously low paying position and I assumed that was the pay in the new city I move to. I have grown over the past couple years and I understand I was taken advantage of. I hope that this doesn't happen to others. Therefore, I believe it is critical we know what other nurse practitioners are being compensated so we are able to negotiate our salary and benefits packages.

I'm an FNP-C in Houston area working in Surgery (first assist, preop, and follow up post op care) Salary is 110k (negotiating to 115k), 3 weeks pto, 9 paid holidays, 1500 CME/yr, paid DEA, malpractice, 401k without match, 4 day work week (40-50hrs), on-call practically all the time (but only get calls on surgery days 2-3days/week). Overall I'm happy with the work I do.

What is your compensation package look like?

[JWEMT]

New grad. Hospital medicine. 127k starting 5 weeks vacation, 8 holiday, 2 weeks cme 2500$, sick days, 1 week conference. Full medical benefits, pension. 3% annual raise. Work 3 days a week. 

[FullGlass, BSN, MSN, NP]

I started out as a primary care NP (AGPCNP).  My first year's compensation was $125K.  After 2 years, I switched to mental health and was paid $75 per hour for 1 year.  I just completed 1.5 years with my employer, have earned my PMHNP and I negotiated pay raise to $90 per hour = $187K per year.  I am in Bakersfield, CA.

[Persistent FNP, RN, NP]

New grad FNP, FHQC-130K with 6 wks PTO and extended long term sick pay. 2k CME + 1 wk PTO on top of vacation/sick. 5 8's with one day tele-health from home and half day admin, with promise to re-evaluate for 4 10's when it is feasible. 25k sign on bonus with 10k relocation stipend. Rooming MA and scribe with paid license, uptodate etc. Also qualifies for loan repayment

California, Mendocino County

[OncNP]

Heme/Onc NP with 8 years experience, was my first job out of NP school. I am in Upstate NY, private practice. 

I see 18-22 patients per day, 4.5 days per week. Call is 1:6. 

Salary is $103,000; no CME money. 24 days PTO. 6 paid holidays. No weekends other than call, and half day Fridays. 3% match 401k, about $1500 put into a pension each year, and $3000 profit sharing in a retirement in fund each year. Calls are first call only, don't have to go in, $1000 per weekend. 

PPD is significantly higher than in other oncology practices from what I hear, pay is lower.  Salary is significantly lower compared to other mid levels in community that work for local hospital system and are on productivity. 

[K.M.Lue]

Hospital Medicine Night NP (7P-7A) in Omaha NE 

6-12 admits nightly, 90 patient cross coverage list. Respond to all RRTs. No additional HMS provider or MD in house. 

Contracted salary. 130,000 annually with 20% bonus = 150,000 

CME 2,500. 

Create schedule with other night NPs in groups location. 12 shifts/month. 

[Tegridy]

K.M.Lue said:

Hospital Medicine Night NP (7P-7A) in Omaha NE 

6-12 admits nightly, 90 patient cross coverage list. Respond to all RRTs. No additional HMS provider or MD in house. 

Contracted salary. 130,000 annually with 20% bonus = 150,000 

CME 2,500. 

Create schedule with other night NPs in groups location. 12 shifts/month. 

Similar to the job I did in south east a while back

12 admit per night ish

cc for 40-100 usually 60-90

no doc

7/7 nights 6 to 6

Respond to whatever the hospital called rapids and codes

open ICU

125 but for doing this we had a side gig thru same employer as a treat for a few hours per week for med consults in psych center bringing up to 165 ish

Also took call for a nursing home and clinic but maybe got one call per week so not as bad as it sounds (at night only)

Free health insurance that covered almost everything

401k w match

[JBMmom, MSN, NP]

NP with almost one year experience in the ICU.

13 shifts per month, 12 hours

$116K plus $18K annual critical care bonus

Awesome benefits with free tuition for myself (not that I EVER plan to go back to school) and tuition waiver if my two kids attend state university. 

[Sun1]

28 minutes ago, ZyzzFan said:

I use Headway and Alma to bill insurance. It makes it easier to run everything since I do everything myself including phone calls, emails, prior auths, etc.  They let me bill Cigna, Aetna, United, Optum.

In my area there is a huge deficit of providers, so it has been very easy to fill my roster.  

This is great! What rate are they allowing you to bill at? 85% or more compared to the physician's rate? How many patients do you see on an average daily, and what kinds of treatment options are you offering?

[Fnpyeayouknowme]

I'm in rural PA. Brand new grad in a FQHC. $102,000. 40 hours a week. 4 weeks PTO, 1 week CME PTO. Full benefits. CME is only $1200 but increases every year until $4000 I think.

[Mergirlc, MSN, APRN, NP]

Fnpyeayouknowme said:

I'm in rural PA. Brand new grad in a FQHC. $102,000. 40 hours a week. 4 weeks PTO, 1 week CME PTO. Full benefits. CME is only $1200 but increases every year until $4000 I think.

Thank you for this!!  I'm considering PA and this is really helpful information.  Much appreciated!

[B52express, NP]

I just started out as a new grad FNP-C working in Urgent Care, I'm in Houston, Texas getting 93K or $50/hr, I'm salaried, 3-4 days a week, 12 hour shifts. I don't receive any paid CME or reimbursement for license renewals until I've been with the company for a year which I think is BS. Also I don't receive a retirement account until I've been with the company for atleast a year and I had to wait 90 days for benefits to kick in. They did not help me pay for my DEA. regardless to say I'm not very happy, unless $50/hr for a new grad in UC is good? But I've heard otherwise. Let me know what yall think. I already have an exit plan with this place into another urgent care lined up. Just waiting to get my year or almost a year in and duck out of this place. Also scheduling is very inconsistent. 

[barcode120x, RN, NP]

@SkinD8P
I do recall seeing an admin post somewhere that you need a certain total number of posts (I think it's like 5 or 10) before you have access to Private Message someone.

New NP here that recently started. I am a sub contractor and I do home visits (tele, and soon to be office visits) for annual wellness exams. I get paid per patient, $125 (with a few $$$ here and there if I do additional exams like a spirometry, etc) for home visits and $90 for tele. No benefits at all. I get my schedule confirmed the afternoon-night before. If I need time off, I just tell my schedule what days I need off. I think I got real lucky finding this gig. Next week, I'll be doing C&P Exam appointments for the VA for $100/hr 2/week then doing the wellness visits the remainder of the week. A bit nervous about being a C&P examiner, so we'll see how it goes.