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?

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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