What is your take home pay as Nurse Practitioner?

What Members Are Saying (AI-Generated Summary)

Members are discussing various aspects of nurse practitioner (NP) programs, salaries, and job satisfaction. Some members are sharing their personal experiences with NP programs and salaries, while others are referencing reports on NP salaries by state and specialty. Additionally, there is a conversation about the perception of certain cities and the impact of location on salary and job satisfaction.

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?

Specializes in Anesthesia, Pain, Emergency Medicine.

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.

Specializes in APRN, FNP-BC, Neuro, ICU, ER, Admin.
On 9/28/2013 at 1:02 PM, DrZaphod said:

NP's should never accept salaries. Work for yourself or bill insurance directly or through your physician collaborator/supervisor if needed. Salaries are very low because the MD/DOs take a huge cut. It takes more work, but will be worth it to only work for $100 or more hourly or fee for service. If we all do this, we will make great strides.

What type NP are you? Psychiatry

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

Are you independent or in a group? Independent w/ physician "supervision"

How many years experience? 5

What is your before tax paycheck amount? 15k every two weeks if lucky, sometimes only 20k monthly

Monthly or bi-weekly? Bi-weekly

Salary/hourly/other(explain)? Through employer it is per-patient, consulting varies, $1600 for a 2 hour evaluation at one place, others I do not accept less than $100/hourly

Avg hours on check? 40

What are the perks of your contract? (ie. PTO/vacation/bonuses) Don't have one

YOU ARE AMAZING!  Thanks for sharing this very important information

"NP's should never accept salaries. Work for yourself or bill insurance directly or through your physician collaborator/supervisor if needed. Salaries are very low because the MD/DOs take a huge cut. It takes more work, but will be worth it to only work for $100 or more hourly or fee for service. If we all do this, we will make great strides."

8 Years ago you were making 15K every 2 weeks.  AMAZING!  How are you doing now?

Specializes in APRN, FNP-BC, Neuro, ICU, ER, Admin.
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

Specializes in DNP, AGPCNP - Headache Medicine.

What type NP are you? Adult/Geri Primary, work in outpatient neuro subspecialty

Where (state)(rural/urban) do you practice? city in Northern IL (not Chicago or suburbs)

Are you independent or in a group? Group

How many years experience? 10 as an RN, <1 as NP

What is your before tax paycheck amount? $4159

Monthly or bi-weekly? Bi-weekly

Salary/hourly/other(explain)? $108136. Will switch to RVU-based when I'm off the guaranteed salary. MY pay should go up.

Avg hours on check? 80

What are the perks of your contract? (ie. PTO/vacation/bonuses) 3 weeks PTO/vacation, 6% annual productivity bonus, 1 week/$2500 CME, all licensing expenses and malpractice paid.  The biggest perk for me is the lack of take-home work. My charts are mostly finished before I leave for the day, or at most I stay 20 minutes or so after clinic to finish up. That's why I chose the job.

Specializes in Adult Gero NP/ PMHNP.

What type NP are you? PMHNP

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

Are you independent or in a group? Group

How many years experience? 3 years as a Primary Care NP, and 1 year as a PMHNP

What is your before tax paycheck amount? Average 15k a month on 1099, I can make unto 20-22K a month depending on how much I want to work. 

Monthly or bi-weekly? Biweekly 7-8k

Salary/hourly/other(explain)? Per patient rate

Avg hours on check? based on 35 hr work week

What are the perks of your contract? (ie. PTO/vacation/bonuses) None, as I am an independent contractor. I enjoy making the $ while I'm young and do not have any health needs. Also helps that I am getting health insurance through my college while also in the DNP program. 

Specializes in Psych/Mental Health.
2 hours ago, NYC-NP87 said:

What type NP are you? PMHNP

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

Are you independent or in a group? Group

How many years experience? 3 years as a Primary Care NP, and 1 year as a PMHNP

What is your before tax paycheck amount? Average 15k a month on 1099, I can make unto 20-22K a month depending on how much I want to work. 

Monthly or bi-weekly? Biweekly 7-8k

Salary/hourly/other(explain)? Per patient rate

Avg hours on check? based on 35 hr work week

What are the perks of your contract? (ie. PTO/vacation/bonuses) None, as I am an independent contractor. I enjoy making the $ while I'm young and do not have any health needs. Also helps that I am getting health insurance through my college while also in the DNP program. 

If your average 1-year 1099 salary is $180k. What's your "after tax" earning over 1 year? How many weeks do you take off? 

Specializes in Adult Gero NP/ PMHNP.
20 minutes ago, umbdude said:

If your average 1-year 1099 salary is $180k. What's your "after tax" earning over 1 year? How many weeks do you take off? 

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. 

Specializes in Psych/Mental Health.
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

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