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 Home Health, Podiatry, Neurology, Case Mgmt.

I like seeing the information on this thread. It helps because I wouldnt know what to negotiate with added perks. I have saw listings for "brand new grad FNP" with starting salary at 75K (Jacksonville, FL) for a family practice. I cringed as I make 60K as a nurse case manager now. (not that pay is all that important) but if I made 75K and was able to get 4-5wks pd vacation, CEUs, licensing fees, paid insurance, and a flexible schedule for my kids, and some sort of bonus structure I'd be okay negotiating that. Thanks to all of you for putting this info out there. The varying ranges of pay for an NP is crazy but looking more at the benefit side it can be leveled out and this really will help new grads to have a mind set of what benefits they want/need. =)

Specializes in Mental Health.

Thank you everyone for posting. Very helpful information!

Hoping that some PMHNPs will post their info since that's the career I am entering, but it seems like there's not too many psych NPs on here.

I like seeing the information on this thread. It helps because I wouldnt know what to negotiate with added perks. I have saw listings for "brand new grad FNP" with starting salary at 75K (Jacksonville, FL) for a family practice. I cringed as I make 60K as a nurse case manager now. (not that pay is all that important) but if I made 75K and was able to get 4-5wks pd vacation, CEUs, licensing fees, paid insurance, and a flexible schedule for my kids, and some sort of bonus structure I'd be okay negotiating that. Thanks to all of you for putting this info out there. The varying ranges of pay for an NP is crazy but looking more at the benefit side it can be leveled out and this really will help new grads to have a mind set of what benefits they want/need. =)

Since 75k is what they posted, you should definitely ask for higher than that. They always lowball the posted salary. Good luck!

Isnt $700 low for CME? What state is that?

Yes, it's very low. It is an ongoing source of contention with my employer and one that I continue to be promised will be looked at with each new budget. I have been trying to convince my employer to provide a reasonable stipend but it doesn't seem to be a priority.

NC

Specializes in Psychiatry.

Actually, I do not have office space so my overhead is low. I go to various assisted living and skilled nursing facilities and take care of the residents. I just bill Medicare directly and use a billing company that charges 5% of gross.

So then do you pay for your office space or how does that work if you bill directly ?
Specializes in Psychiatry.

Set up your corporation early. Depending on your state, you may need an S-Corp instead of an LLC. Make it a professional corporation. Get an accountant and a billing company set up. Get your own malpractice even if your employer offers it as a perk. Get credentialed on all insurance you want to accept. Setting it all up can take a while ,but in the end, you will make more than twice as much as a salaried NP, will be better able to help your patients, and will be content that you are being reimbursed for the positive outcomes you achieve, rather than allowing some physician to take pay for work you did.

Wow Madglee,

Those numbers are impressive. I know you're a psych np, but do you have any words of advice for a soon to be fnp grad?

I've always wanted to work for myself and never thought of being an independent contractor, but actually another np recently brought this to my attention.

Specializes in Psychiatry.

I posted earlier. You should be making about 200k a year if you don't accept some 40 hour a week job and salary.

Thank you everyone for posting. Very helpful information!

Hoping that some PMHNPs will post their info since that's the career I am entering, but it seems like there's not too many psych NPs on here.

Specializes in Urology NP.

What type NP are you? FNP

Where (state)(rural/urban) do you practice? State that requires collaborating physician, rural

Are you independent or in a group? Private practice, specialty, with 3 other providers

How many years experience? Just graduated

What is your before tax paycheck amount? $3460

Monthly or bi-weekly? Biweekly

Salary/hourly/other(explain)? Salary

Avg hours on check? 72-80

What are the perks of your contract? (ie. PTO/vacation/bonuses) 5 wks vacation and 1 wk sick per yr, 7% bonus per year, $2500 for continuing education, and various other perks. No weekends, evenings, or holidays; no call

Specializes in Pediatric Pulmonology and Allergy.

I find it interesting that some NPs are reporting higher than average incomes for MDs in their specialty.

Specializes in Internal Medicine.
I find it interesting that some NPs are reporting higher than average incomes for MDs in their specialty.

Depends on region and competition. If you live in a saturated market you aren't going to be making as much. Goes for NP's and physicians. Similarly, lots of physicians are leaving family practice and new grads aren't even bothering because 150K a year isn't appealing when you make more in a specialty and have lots of student loan debt. Most NP's will take 3/4 of that in a hearbeat.

Where I live in El Paso, Texas, we have a very underserved community with really high demand for physicians and NP's. New jobs typically start at $90K and it's not uncommon to see NP's with a couple of years of experience pulling in over $125K a year. Meanwhile, several friends that graduated NP school and moved to Austin had to hustle to get a job out of school and in one case ended up take less than they were making as an RN. It's simple supply and demand. Choose to live in a saturated market, and make less.

Specializes in Pediatric Pulmonology and Allergy.

Honestly, how can an np make $100 an hour if insurance will reimburse only $40 per visit? Ppl pay more for a haircut!

Specializes in Internal Medicine.
Honestly, how can an np make $100 an hour if insurance will reimburse only $40 per visit? Ppl pay more for a haircut!

You realize most NP's, physicians, etc see more than one person an hour. A well run clinic with numerous treatment rooms can see dozens of patient in the course of an hour. Plus, that $40 is just for the visit not, additional care services that were provided. Lastly, lots of clinics advertise fee's for set services without needing insurance. A clinic I've precepted at advertises $60 flat fee a visit which includes assessment, treatment, and writing the prescriptions. Even patients with insurance often choose this route as it's less hassle.

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