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1099
NPjobs, on your terms.

NP independent contractor workspace

1099 Positions (66)

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A

Primary Care Clinician (part-time)

Amae Health

Los Angeles, CA

$145-$175/hrContractIn-Person

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M

WI Licensed 1099 Psychiatric Mental Health Nurse Practitioner

Mantra Health

Remote

$100/hrContractRemote

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M

MA Licensed 1099 Psychiatric Mental Health Nurse Practitioner

Mantra Health

Remote

$100/hrContractRemote

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M

NY Licensed 1099 Psychiatric Mental Health Nurse Practitioner

Mantra Health

Remote

$100/hrContractRemote

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B

Child & Adolescent Psychiatric Nurse Practitioner (PMHNP)

Blackbird Health

Sterling, Virginia

$100/hrContractHybrid

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B

Psychiatric Mental Health Nurse Practitioner, PA License - PMHNP - Contract/1099

Blackbird Health

Pittsburgh, Pennsylvania

$120-$140/hrContractHybrid

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M

Psychiatric Nurse Practitioner

MedElite

Albany, NY

$150k-$200k/yrContractHybrid

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B

Speech Language Pathologist - Contract/1099

Blackbird Health

Langhorne, Pennsylvania

$55/hrContractRemote

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M

Psychiatric Nurse Practitioner

MedElite

Montpelier, Vermont

$150k-$200k/yrContractHybrid

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S

Psychiatric Nurse Practitioner (Washington)

SonderMind

Seattle, Washington

$248/hrContractHybrid

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Top Employers

  • Lyra Health35 jobs
  • SonderMind5 jobs
  • Mantra Health5 jobs
  • FamilyWell4 jobs
  • Blackbird Health3 jobs
  • Advantmed2 jobs
  • iTrust Wellness Group2 jobs
  • MedElite2 jobs

Salary Insights

$205k
Average annual salary

1099 gross rates before self-employment tax.

Why Choose 1099

Built for Independence

1099 roles offer higher gross pay, full schedule control, and significant tax deduction opportunities.

Higher Gross Pay

1099 NP contracts typically pay a higher gross rate than comparable W2 roles — you trade employer-paid benefits for headline pay and tax deduction opportunities.

1099 NP independent workspace
1099 tax planning

Tax Advantages

Deduct business expenses, make large pre-tax SEP-IRA or Solo 401k contributions, and write off home office and mileage.

Schedule flexibility

Schedule Control

Set your own hours, work with multiple clients, and control your patient volume.

Clinical autonomy

Clinical Autonomy

Choose your clinical focus, treatment approach, and patient population freely.

Multiple clients

Multi-Client

Contract with multiple practices simultaneously to diversify income streams.

LLC protection

LLC Protection

Operate under an LLC for liability protection and business tax flexibility.

Salary Comparison

1099 NPs average $205k gross on current listings — before accounting for self-employment tax and the benefits you fund yourself.

1099 vs W2 salary comparison

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Before You Apply

Setting Up as a 1099 NP

01

Form an LLC

Create an LLC or PLLC for liability protection and tax flexibility before signing your first contract.

02

Get Insurance

Secure individual malpractice insurance and health coverage through the marketplace or a spouse's plan.

03

Tax Setup

Get an EIN, open a business bank account, and register for quarterly estimated tax payments with the IRS.

04

Retirement Plan

Open a SEP-IRA or Solo 401k to maximize your tax-advantaged retirement savings.

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FAQ

1099 NP Questions

What is a 1099 NP position?

A 1099 NP works as an independent contractor rather than a W2 employee. You receive a 1099-NEC tax form instead of a W-2. You set your own schedule, pay your own taxes (including self-employment tax), and provide your own benefits. In exchange, you typically earn higher gross pay than comparable W2 positions.

How much do 1099 NPs earn compared to W2?

1099 rates are quoted gross and usually run meaningfully higher than comparable W2 hourly rates, because no benefits or employer payroll taxes are attached. After accounting for self-employment tax (15.3%), health insurance, malpractice coverage, and retirement contributions, net take-home is often closer to W2 pay than the headline rate suggests — model both before accepting an offer.

What are the tax advantages of 1099 NP work?

1099 NPs can deduct business expenses including home office, mileage, professional development, malpractice insurance, health insurance premiums, retirement plan contributions (SEP-IRA or Solo 401k), technology/equipment, and professional memberships. These deductions can significantly reduce taxable income.

Should new grad NPs take 1099 positions?

We generally recommend new grads start with W2 positions that offer mentorship, malpractice coverage, and benefits. 1099 work requires clinical confidence, business management skills, and financial discipline. Most NPs transition to 1099 after 2-3 years of experience when they can negotiate better rates and manage the business aspects.

What do 1099 NPs need to set up?

1099 NPs should: 1) Form an LLC or PLLC for liability protection, 2) Get individual malpractice insurance, 3) Set up a business bank account, 4) Obtain an EIN from the IRS, 5) Register for quarterly estimated tax payments, 6) Open a SEP-IRA or Solo 401k, 7) Secure health insurance through the marketplace or spouse's plan.

66 1099 NP Jobs — Independent Contractor Roles | NP Hiring