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.
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 $70 per hour, seeing 1 patient an hour (doing med management and therapy) much better arrangement!
There are huge salary ranges depending on area of the country/patient population. Completely dependent on patient population and pay structure; many users and posts here discuss that.
I did many interviews in different states: here in big TX cities - offers were around 120-140k (70$ an hour+ benefits). Offer in NM was a 50-50 split, so the provider would take around 100k if they generated 200k and the pt population was poor. In affluent areas like Seattle, NYC or CA, income can go up to 200k+ even with a 70% provider split if you are in private practice. DE there was an offer from 170-190k that was inpatient. In some other rural area of TX I think I had an offer at $50 an hour, inpatient/geri... which comes out to about 100k for full time work. The FNP who started her own concierge service in Austin, TX is easily making 200k+. I had an offer from a Psychiatrist in Austin as well and they did cash only, so you would probably at least make 150-200k+.
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.
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), 3weeks 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?
NP pay is way better in Texas and the midwest than in California, thats for sure.
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.).
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.).
I should mention when compared to cost of living, its on the low end.
I should mention when compared to cost of living, its on the low end.
If you like California or Texas then Arizona or Nevada might be worth considering since they both have IP for NP's and lower cost of living (than California). Nevada has the added bonus (like Texas) of no state income tax. Not to mention being able to go for some decent food a 0300 in the morning if that is your thing.
If you like California or Texas then Arizona or Nevada might be worth considering since they both have IP for NP's and lower cost of living (than California). Nevada has the added bonus (like Texas) of no state income tax. Not to mention being able to go for some decent food a 0300 in the morning if that is your thing.
Also, I continue to see a market for "24 hour" services in the Las Vegas market. It is one of the few cities that should be able to support a staffed walk in clinic 24/7 (at least in non Covid times). Indeed, if we ever opened a PMHNP clinic there it would be my goal to have 24/7 TMS, along with a 24/7 therapeutic massage business that operated in tandem.
I'm a hospitalist NP, I live in Philadelphia and work in NJ. I started in 2020 at 115K, 160 hours PTO, 401K with 50% match if I contribute at least 6%, $2000/year CME, they cover all licensing costs and DEA. Also, last year got a $500 holiday bonus which was a nice surprise. Salary goes up every 2 years when contract is re-signed. I work nights 7 on 7 off. I love my job. I admit on average 5 patients over night and cover the med/surg and tele floors. The doc I work with admits and covers the critical care patients. I am very autonomous in my position which is a great perk for me.
I do think it's important that we discuss this so that new grads can know their value and what to negotiate for.
Hospitalist NP in Southern, NM employed by a large national physician practice. We work independently within our group and admit to ourselves with no physician oversite. NM is a very NP friendly state.
-$171k base (have to give fourteen 12 hour shifts a month, at $85/hr). I typically work 15 or 16 shifts a month so haven't taken home less than 210k a year in the nearly 4 years I've been here.
-RVU and Quality bonuses equal another $20-30k a year
-4% matched 401k
-Solid Healthcare
-No PTO, but schedule is week on, week off, so I have over half the month off and can work the schedule between months for more time if necessary
-Holiday differentials
-2k CME (licensing can be covered under CME, as can scrubs and stethoscopes, supplies)
umbdude, MSN, APRN
1,228 Posts
I hope this is a 1099 20-hour position?