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?

[Sun1]

On 7/17/2021 at 7:29 PM, Riburn3 said:

Thanks.  I had to crawl through the muck before I got this job, working for a large volume practice, seeing 30+ patients a day all over a decently sized city, and barely was scratching 6 figures.  It prepared me very well for my job, but it's proof that experience pays off.  I would have never landed my current gig as a new NP, and it's important to remember for new NP's out there, that their starting pay out of school will most certainly not be what you are making down the road.  Even in saturated markets, practice groups and larger companies will pay for experience.  

Incredible experience.....how long did it take you to get to this level, btw?

Thanks!

[MentalKlarity, BSN, NP]

3 hours ago, Lennonninja said:

9 years of RN experience, 1 year of NP experience. This is my new grad job. Vascular surgery NP here, only work in the outpatient office seeing vascular medicine patients, post ops, etc. No time in the hospital. M-F 8-5, $95k per year, 5 days PTO per year, no reimbursement for CEU, DEA, or licensing fees. No call. No benefits offered, no 401k. No raises or cost of living increases offered. Have to do all of the NP work in the office as well as all of the RN work and help at the reception desk. 

Five days off a year!???

[Lennonninja, MSN, APRN, NP]

2 hours ago, TeleRN2010 said:

I will be starting my first job in vascular surgery as well. How do you like it? Any tips for anyone starting out?

I love the specialty but my work environment is toxic. Look into researching TCAR, EVAR, and pedal angiography. Try to find ways to explain narrowed arteries that is approachable to patients. I use an analogy to traffic personally. 

16 minutes ago, MentalKlarity said:

Five days off a year!???

Yep. My entire job was a bait and switch. 

[MentalKlarity, BSN, NP]

2 hours ago, Lennonninja said:

I love the specialty but my work environment is toxic. Look into researching TCAR, EVAR, and pedal angiography. Try to find ways to explain narrowed arteries that is approachable to patients. I use an analogy to traffic personally. 

Yep. My entire job was a bait and switch. 

I mean, that's a joke. I'd just start putting in requests beyond 5 days. It's like they expect you to never go on vacation again?

[Lennonninja, MSN, APRN, NP]

6 hours ago, MentalKlarity said:

I mean, that's a joke. I'd just start putting in requests beyond 5 days. It's like they expect you to never go on vacation again?

I mean that’s their ideal situation, that I just never have days off. I am allowed to take unpaid days off, so that’s what I have to do to get a vacation this year. 

[Rnis, BSN, DNP, APRN, NP]

Lennonninja said:

I mean that's their ideal situation, that I just never have days off. I am allowed to take unpaid days off, so that's what I have to do to get a vacation this year. 

Hopefully you will be moving to a different position ASAP

[Lennonninja, MSN, APRN, NP]

Rnis said:

Hopefully you will be moving to a different position ASAP

Believe me I'm trying. I've applied to every NP job within a 50-60 mile radius since May of this year. 

[Sun1]

22 minutes ago, FullGlass said:

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.

That is great.  So happy for you. Can you please comment on how were you able to work with a AGPCNP certification in mental health and get paid, before your PMHNP certification?

Thanks!

[FullGlass, BSN, MSN, NP]

22 hours ago, Sun1 said:

That is great.  So happy for you. Can you please comment on how were you able to work with a AGPCNP certification in mental health and get paid, before your PMHNP certification?

Thanks!

There is a terrible shortage of mental health care providers in California, so some organizations will hire an NP and give them the title "Behavioral Health NP."  However, it is harder to find these jobs.  

[ChrissyBee]

Travel  nurses are making 300 k a year. My mind here ?

[Sun1]

8 hours ago, 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. 

How many years of work experience do you have to get to this level?

[K.M.Lue]

This was my first job as a new grad NP and majority of other NPs in the group start out as new grads as well. Not ideal  or safe to be honest as you could imagine.  I have worked here 5 years now.