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.
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.
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)
Hi all, Pain Management Adult ACNP here based out an academic medical center in Baltimore, MD.
100k/year starting as a new grad NP (My experience 13 years RN ICU, 3 years as a CNS), base rate approximately 49/hr Weekend differential additional 7/hr, additional shift 75/hr
800 in CE and education reimbursement
7500 loan reimbursement one time
Expense reimbursement except for MD license
403b with dollar for dollar up to 4% of pay, partial vesting after 2, full vesting after 5 yrs
Medical, Dental, Life (small amount), FSA, HSA, about $60 per pay deduction for a mid tier plan, myself only.
Overall, I feel like I'm getting pretty screwed in compensation. However this was my first new grad position and I wanted to get some experience first. Ultimately, I will probably go back to working as a clinical nurse specialist, since my compensation for that role was significantly higher. I applied for a CNS role in a similar size institution in Baltimore and was initially offered about 127,000 per year without any negotiation. Previously was working as a contract CNS was taking home about 4K weekly, in SF Bay Area - so take that based on cost of living. I'll probably hangout in this role for a year or two and then reshop the market.
One piece of advice I might add, is I bought a Salary report off of salary.com and am able to use that in the negotiation process.
Love that you stood up for yourself and demanded what you're worth very inspiring !
In addition to receiving formal education for First Assist, I received training from the surgeons. I see preop and post op surgical patients in office. I do know many NPs working in surgery in some aspect ( first assist, post surgical oncology plastics in office, gyn onc surgery etc.)
Also, insurance companies reimburse for my role as first assist.
What is the billing rate for first assist? Which procedures are the most lucrative to be on with surgical assist? Can you please provide some examples?
Did people truly expect salaries not to drop down to poverty wages once online for profit schools graduated so many NPs a year that they became a dime a dozen?
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?
You said your 1st you accepted a very low pay… what was that pay? What is the minimum one should accept?
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.
I will be starting my first job in vascular surgery as well. How do you like it? Any tips for anyone starting out?
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?
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.
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.
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?
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.
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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.