1099 Positions in South Dakota (2)
View All Jobs →Psychiatric Nurse Practitioner (PMHNP) - Remote
Posted 3 weeks ago
Psychiatrist or Prescribing Nurse Practitioner or Physician Assistant - 1099 Contractor - Sioux Falls, SD (Spanish-speaking)
Posted 5 days ago
Top Employers
- BetterHelp1
- Lyra Health1
1099 Tips
- •Form an LLC or PLLC before signing your first contract
- •Set aside 25-30% of income for quarterly estimated taxes
- •Maintain your own malpractice insurance (occurrence-based)
- •Track all business expenses diligently for tax deductions
- •Work with a healthcare-specialized CPA for tax optimization
Why 1099?
1099 PMHNPs earn $75-150+/hr — 20-40% higher than W-2 rates with significant tax deduction opportunities.
Set your own hours, work with multiple clients, and control your patient volume and caseload.
Deduct business expenses, contribute $66K/year to SEP-IRA, and write off home office and mileage.
Why Choose 1099
1099 Careers in South Dakota
Independent contractor psychiatric NP positions
Higher Gross Pay
1099 PMHNPs earn $75-150+/hr — 20-40% higher than W-2 rates with significant tax deduction opportunities.
Schedule Control
Set your own hours, work with multiple clients, and control your patient volume and caseload.
Tax Advantages
Deduct business expenses, contribute $66K/year to SEP-IRA, and write off home office and mileage.
State Insights
South Dakota at a Glance
Independent-contractor (1099) PMHNP roles in South Dakota pay $75–$150+ per hour without benefits or employer-paid malpractice. Clinicians self-fund quarterly estimated taxes, occurrence-based malpractice, and any LLC or PLLC structure — net take-home depends heavily on those offsets and SD self-employment tax exposure. South Dakota grants full practice authority — independent prescribing without physician oversight, and the state's below-average cost of living (index 93) directly shapes PMHNP compensation expectations. 1 of the state's top metros carry federal Mental Health Professional Shortage Area designation, so positions in those areas typically qualify for NHSC Loan Repayment. The current 2 active postings reflect a smaller pool of openings for psychiatric nurse practitioners across South Dakota.
South Dakota grants full practice authority to PMHNPs.




