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?

[MentalKlarity, BSN, NP]

ZyzzFan said:

Psych NP, private practice owner

Did 510k this year, finally broke the 500k mark after a few years.  Enforcing no show fees has been a game changer for me.  Granted I work M-F 10 hour days and didn't miss a single day of work this year with no vacation.  

The money is out there

Have you hired any partners/someone to work under you? It's working out to be about $196 per hour. You could hire a psych NP to work under you for $150,000 per year and if they bring in the same $196 per hour they will bring in $360,000 a year working 40 hour work weeks with 6 weeks vacation. You'll profit over $200K per psych NP you hire.

[ZyzzFan]

10 hours ago, MentalKlarity said:

Have you hired any partners/someone to work under you? It's working out to be about $196 per hour. You could hire a psych NP to work under you for $150,000 per year and if they bring in the same $196 per hour they will bring in $360,000 a year working 40 hour work weeks with 6 weeks vacation. You'll profit over $200K per psych NP you hire.

I am looking for that right now I have been subleasing a space for the last 2 years and recently bought an office space I am renovating.  I'm hoping to get a Psych NP and then sublease the other rooms to therapists and a psychologist 

[MentalKlarity, BSN, NP]

3 hours ago, ZyzzFan said:

I am looking for that right now I have been subleasing a space for the last 2 years and recently bought an office space I am renovating.  I'm hoping to get a Psych NP and then sublease the other rooms to therapists and a psychologist 

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.

[ZyzzFan]

7 minutes ago, MentalKlarity said:

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.  

[B52express, NP]

@SkinD8P how do I get into derm?! LOL 

[SkinD8P]

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.

[pulmNP]

 T

SkinD8P said:

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.

[SkinD8P]

I can't send a PM either. Not sure of your questions regarding transitioning into derm but is possible if you find a dermatologist willing to train you.  You might have to relocate to more rural areas as the need is always higher there.

[Mergirlc, MSN, APRN, NP]

barcode120x said:

@SkinD8P
 

......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.....

Out of curiosity, did you seek out this job or did the contracting company find you (Linkedin or some other website)?  Sounds like a great job.

Do you feel the pay you are getting is inline with what you would be paid if you were working in a standard outpatient/primary clinic?  

[pulmNP]

interested in the home visits job as well. I know a few NP's who do it as a side hustle

 

[barcode120x, RN, NP]

Mergirlc said:

Out of curiosity, did you seek out this job or did the contracting company find you (Linkedin or some other website)?  Sounds like a great job.

Do you feel the pay you are getting is inline with what you would be paid if you were working in a standard outpatient/primary clinic?  

I found it on indeed actually. I got really lucky in applying when I saw the initial posting because the owner only hired I think 3 of us and there were hundreds of applicants (after checking the listing on indeed a few weeks later). While I was precepting in NP school, my doc had me do a bunch of annual wellness visits for medicare patients and she mentioned to me that sometimes a contractor comes to her office to do the visit (and I actually got to shadow her a few times). Mentioned it paid really well. When I finished school, I wasn't initially headed in that direction, but ended up giving a try and I love it. It's easy, flexible, and great pay. 

The biggest downside is that you are not necessarily guaranteed a full schedule each day/week. But I have unintended day offs are kind of nice LOL, get to sleep in, hit the gym, etc.

[Mergirlc, MSN, APRN, NP]

barcode120x said:

I found it on indeed actually. I got really lucky in applying when I saw the initial posting because the owner only hired I think 3 of us and there were hundreds of applicants (after checking the listing on indeed a few weeks later)....... 

The biggest downside is that you are not necessarily guaranteed a full schedule each day/week. But I have unintended day offs are kind of nice LOL, get to sleep in, hit the gym, etc.

Sounds awesome!!  I'm currently midway in my clinical preceptorship and also have to do annual wellness exams (regular adult and Medicare) from time to time.  It's just nice to hear how exams you actually learn and do can turn into actual employment!  ?  Congratulations!