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.
Smart! Did you contract with insurance or self pay only? Several of my colleagues have gone private practice but they keep getting gobbled up by the big players trying to consolidate because they have trouble negotiating favorable insurance rates on their own.
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.
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?
FNP in the Bay Area/CA working in university setting in specialty practice.
Salary 210k - no negotiations - based on union set rates/previous NP/RN exp.
2.5 weeks pto + separate sick time bank
All holidays paid
1,500 CME/yr 1 week for education
Dea, malpractice included
pension plan after 5 years
Work 4 10 hr shifts, no call
I figured I would throw in a military perspective for an FNP. I returned to active duty Air Force. So there's a different breakdown compared to civilian. Bear in mind these numbers vary with location and nursing/NP experience.
I came on as a NP with 3 years NP experience and 9 years RN experience prior which hit me the rack of 03/capt.
base pay:4849.80/mo taxed to 3540.35
housing allowance (non taxed based on location/higher with dependents) 2082/mo
Monthly food allowance (not taxed):311.88/mo
speciality pay (all NPs have a specialty): 500/mo
total take home: 6434.23/mo
This is not including an accession bonus of $20000 for initial 3 year commitment or $30000 for initial 4 year commitment.
After your initial commitment, you're looking at a retention bonus structure dependent on amount of years of your commitment and specialty (up to $36k/yr for 6 year option on FNP scale).
My personal take home per paycheck is way more than when I finished as a civilian NP with a guaranteed 4 hours of weekly admin time and other patient load decrements based on actual military duties.
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.
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!
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.
Find a dermatologist who will train you. Might have to do some networking. There is a program at Florida Atlantic University where they will train NPs on dermatology but that is the only program I know. I had a friend of a friend who told me a dermatologist was interested in teaching a NP how to do dermatology. Once you get a few years experience the jobs come looking for you all over the nation.
Find a dermatologist who will train you. Might have to do some networking. There is a program at Florida Atlantic University where they will train NPs on dermatology but that is the only program I know. I had a friend of a friend who told me a dermatologist was interested in teaching a NP how to do dermatology. Once you get a few years experience the jobs come looking for you all over the nation.
at SkinD8P tried to send you a PM but it won't let me. Don't know if you are able to send me one. I have been doing pulmonology and want to transition to derm. Have a few questions.
ZyzzFan
123 Posts
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.