Members are discussing the salaries and job opportunities for nurse practitioners in different specialties, such as primary care and psychiatric mental health. Some members are comparing the pay differences between different NP specialties, while others are sharing their personal experiences and reasons for choosing a specific specialty. Overall, the discussion revolves around the factors influencing NP career choices, including salary, job satisfaction, and personal interest in a particular field.
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.
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.
Specializes in Physical Medicine & Rehabilitation.
@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.
You have made many posts about earnings and telling other NPs they are not making enough. Please share information on your employment situation and how much you make.
Psychiatry, a 75-25 split with my employer, which works out to be about $250-$300 per hour on average. 6 weeks paid vacation (paid at $200 an hour) and additional 4 weeks unpaid vacation.
Specializes in Physical Medicine & Rehabilitation.
^ I too have see that link in reddit. The site looks kinda legit, but there were comments about how it was asking for full name, phone number, etc. I went to post my salary on that site but did not feel comfortable posting any of my info.
I thought I posted my salary in this thread but I guess not. Here it is!
Full time rehab NP in the SNF setting here in Southern California.
Salaried - 126k; started off as a new grad. Pending to be changed to per patient ratio soon
On paper, 5 days a week, 40 hours/week, see about 120 patients per week
More accurately, 4 days a week, ~ 20-25 hours/week, see about 110-130 patients per week (you make your own schedule)
Experience - Will be hitting 1 year with this employer and PM&R specialty (rehab/pain mgt) next week. Total NP experience is 2.5 years
15 days PTO per year; sick, bereavement, and PTO all combined
1500/year reimbursement for CME, license, and DEA renewal
Mal practice coverage provided
401k plan
Health insurance provided/covered
I also work a per diem, 1099 contracting job with an s-corp as a medical examiner for a DNP (we have a contract with the VA).
On paper 4-6 hours, 1 day per week either on Saturday or Sunday
Paid per chart/appointment in which pay is 40, 50, 75, etc per chart depending on the circumstances. But for the sake of averageness, it's about 2-3k per month
No benefits whatsoever
Self scheduling - you provide your days/hourly availability and they will try and schedule appointments. Sometimes inconsistent, but that's a story for another time
Had no experience prior to starting, none was required. Been with this doc for almost 2 years now.
Specializes in Urgent Care and Occupational Health NP.
Five years experience as an FNP, largely in urgent care. I am currently bouncing around the Great Lakes states doing locums in occupational medicine, $90/hr on a 1099 gig, so no benefits. I'm in the process of being credentialed for a locums urgent care gig, same rate but W2, so I won't have to deal with my own withholding, deducting work expenses, etc.
I'm currently looking for permanent gigs in the city where I live - I'd be happy with at least $70/hr W2 for urgent care or something adjacent.
As someone pointed out, there are a lot of factors that come into play and there are a lot of threads about this here already. Location is huge.
It's way more complex than most of what you see here though; in independent practice, you can negotiate everything. For instance, as a PLLC you can negotiate reimbursement rates. If you have a good relationship with a physician, you don't have to pay that much. You can also choose certain insurances after you build clients that pay more... etc.
TLDR; depending on how hard you advocate for yourself, your salary will be way off the average. I don't know if this applies in something like primary care as there are obvious differences.
Primary care, 40 hours, 150k after bonus, 5k CME, 150 hours PTO not including about 8 holidays, 5 yrs experience, Texas. Lots of opportunities for OT, but would rather spend time with the family.
Yeah it was pretty bad. It was in the South where there were 2 PA schools in the area and 1 NP school, so the competition was pretty fierce. What made matters worse was the psychiatry facility I worked for was mostly hiring PAs in psychiatry and didn't think much about me having a psych certification as an NP, it was outpatient and I was actually replacing a PA. When I got my supervision agreement they wrote for me they initially wrote FNP as my credentials, in fact I had a psychiatrist ask if I could even prescribe medication on an interview!
I now am about to start a new position making $70 per hour, seeing 1 patient an hour (doing med management and therapy) much better arrangement!
I do pulmonology in Idaho in a medium size town. I see between 8-12 patients a day. Starting offered salary was 95K with an adjustment up to 103K based on 2 years experience as an NP. I have been in my current practice two years and make $110k with a yearly 10% bonus. I get 8 hours PTO per pay period. I work 8:30- 4:30 mon thru Thursday and 1/2 day Friday.
NP pay is way better in Texas and the midwest than in California, thats for sure.
NP pay in California is some of the best in the nation. Now the cost of living and taxes are less than optimal in many places, but not so bad in others (Bakersville, Sacramento for example.).
B52express, NP
5 Posts
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.