What is your take home pay as Nurse Practitioner?

Hi everyone. I'm curious as to see what an actual paycheck (before taxes) looks like from an NP. I find salary websites to be not very helpful. So...

What type NP are you?

Where (state)(rural/urban) do you practice?

Are you independent or in a group?

How many years experience?

What is your before tax paycheck amount?

Monthly or bi-weekly?

Salary/hourly/other(explain)?

Avg hours on check?

What are the perks of your contract? (ie. PTO/vacation/bonuses)

I know this is very personal, but if you are able to provide input, I would appreciate it! I'm mainly interested also to see after the gov/operational costs etc have taken their share, how much are you left with?

[ToFNPandBeyond]

Yeah but you forgot the most important part of that, you'd have to live in Oakland. lol.

When I worked at Stanford in Palo Alto people talked about Oakland as in "stab city" and I constantly got recruiters asking me to work 48hr a week contracts paying over $3,000. A traveler friend of mine brought his kid to that assignment and he had to cancel it and leave because his teenage girl didn't feel safe in the town. The cost of living is at least a lot cheaper than San Fran in Oakland so your $150K a year would take you farther.

I find this comment offensive. Please be mindful of your racially motivated biases about a city that has the negative reputation of violence because of its racial demographics. If you look at the statistics, San Francisco ranks amongst the top cities for violent assaults. The person who felt "unsafe" may have felt that way from her own internalized perceptions of Oakland. As a person who lived in Oakland for 5 years, it was a culturally-rich, and very beautiful city to live in. I felt very safe walking the streets both morning and night. Not all of Oakland is "stab city".

I know this isn't about the pay, and I know this comment was written a couple of years ago, but it needed to be said.

[Alec Vinsant]

I don't want to make you feel badly about your work, but around $50 per hour is definitely underpaid. I made that as an RN in 2005.

Texas, Missouri, and Florida are unfortunately completely physician controlled and difficult environments for NPs. One really can't base pay on salaries. As this thread has detailed, NP salaries are extremely low. If you actually saw the superbills and reimbursement you were pulling in for the practice, you would be astounded. While many insurances do reimburse NPs lower than physicians, the discrepancy is not that large in most cases.

One patient an hour would pull in at minimum about $65 for a typical outpatient visit. Obviously, reimbursement fees are difficult to pin down, because they vary by insurance, state, and even individual outpatient practice.

The takeaway is to remember that NP salaries are arbitrary and artificially low. Why would an NP make $125,000 and a physician $275,000+ if the difference in reimbursement is so low? Then one looks at practices which also take cash patients and there is absolutely no difference. The physician who owns the practice is literally siphoning all the money the NP made for the practice. In return, the NP ends up with perhaps 30% of their gross billing.

You speak to exactly what this article is saying. I think it is a great resource to understand the revenue NPs are generating in practice. We actually should be making more based on what we can get from reimbursements.

How Much Should A Nurse Practitioner Make? | Best Careers

[135pipe]

This is amazing thank you all

[hik9258]

Update

What type NP are you? FNP

Where (state)(rural/urban) do you practice? Idaho

Hospital inpatient

How many years experience? 3

What is your before tax paycheck amount?

$145,000 base salary

Additional $1000 per weekend of phone call (ave 20 calls per weekend) (1 weekend a month)

Additional $120 for each H&P each weekend (ave 15 each weekend)

$30,000 sign on bonus

Monthly or bi-weekly? monthly

Salary/hourly/other(explain)? salary

Avg hours on check? Salary (usually 30)

What are the perks of your contract? (ie. PTO/vacation/bonuses) 3 weeks PTO, $5000 CME with 1 week paid, Malpractice Insurance Paid, All licensing fees paid. $5,000 bonus mid year for quality improvement, $5,000 end of year to commit to another year

[Myec]

Hi all, could we get this conversation going again on the current NP salaries? I think it will be helpful for many job seekers and new grad NPs to get perspectives on the job markets! Thank you. 

[nomadcrna, DNP, CRNA, NP]

Which part of the country makes a big difference.
I do 24 hour solo rural ED shifts. I get $75/hr
I also cover the inpatients/swing patients when I'm on.

[PMHNP Student 2021]

On 4/21/2017 at 4:26 PM, DrZaphod said:

The reason is because the $300 per hour is outpatient. Then I have side things like training fellowship-MDs for significantly more, doing Fitness for Duty evals for a lot more, etc. You're right, though, I didn't state it well. Key point is for around 32 hours per week, you should make at least $200k.

Brilliant!  This is someone who knows what s/he is worth.  Thanks for sharing

[umbdude, MSN, APRN]

3 minutes ago, NYC-NP87 said:

I do make sure to take atleast 3 weeks off in a year. I have my own S Corp, so don’t pay as much in taxes, I get full paycheck in my acct. by end of the year, how much I pay is dependent on what my costs were. But I can assure you, its alot less in taxes than 

I would be paying as a W2 employee. 

That's good to know. thanks