1099 PMHNP Jobs — Independent Contractor

Last Updated: March 2026 | 507 1099 psych NP positions available

Discover 507 independent contractor psychiatric nurse practitioner positions

507
1099 Positions
$75-150+
Hourly Rate Range
+20-40%
Higher Gross Pay

Why Choose 1099 / Independent Contractor PMHNP Work?

Higher Gross Pay

Earn $75-$150+/hour — 20-40% higher gross rates than W2 positions, with significant tax deduction opportunities.

Schedule Control

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

Tax Advantages

Deduct business expenses, contribute up to $66,000/year to a SEP-IRA, and write off home office, mileage, and professional development.

1099 vs W2 PMHNP: Quick Comparison

Factor1099 (Independent Contractor)W2 (Employee)
Gross Pay$75-$150+/hour$55-$100/hour
Health InsuranceSelf-provided (tax deductible)Employer-sponsored
RetirementSEP-IRA/Solo 401k ($66K limit)Employer 401k (match)
MalpracticeSelf-provided ($1.5-3K/yr)Employer-provided
ScheduleYou set your hoursEmployer-defined
TaxesSelf-employment tax (15.3%)Employer pays half FICA

See our full 1099 vs W2 Guide for PMHNPs for a detailed breakdown with income calculators.

All 1099 / Contract Positions (507)

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Prescribing Nurse Practitioner (PMHNP) - Child & Adolescent - 1099 Contract - Washington DC

$130k/yr
New

Lyra Health

Washington, Washington, D.C.
Full-Time

About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Exte...

Posted yesterday

Prescribing Nurse Practitioner (PMHNP) - Child & Adolescent - 1099 Contract - Maryland

$139k/yr
New

Lyra Health

Maryland, Anne Arundel County
Full-Time

About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Exte...

Posted today

Psychiatric Mental Health Nurse Practitioner (PMHNP) - (Full-Time, Part-Time, PRN)

$135k/yr

Batlin Recovery Center

Marshall, Saline County
Part-TimeRemote

Batlin Recovery Center - https://batlinrecoverycenter.com/ Location: Marshall, Missouri (On-site, Remote & Hybird) Program Type: • ASAM Level 3.7 – Medically Monitored Residential Withdrawal Management • ASAM Level 3.5 – Clinically Managed High-Intensity Residential Services Position Summary The Psy...

Posted 3 days ago

Recent

Flexible PRN PMHNP Psychiatric Nurse Practitioner

$80-$85/hr

Fuller Hospital

Attleboro, MA
PRNOn-site

A healthcare facility in South Attleboro, Massachusetts, is seeking a board certified psychiatric mental health nurse practitioner (PMHNP) for a flexible PRN position. This role requires PMHNP experience and offers an hourly rate of $80-85. The position allows for weekend .

Posted 4 days ago

Recent

Flexible PRN PMHNP — Psychiatric Nurse Practitioner

$72k/yr

Fuller Hospital

Attleboro, Bristol County
PRNOn-site

A healthcare facility in South Attleboro, Massachusetts, is seeking a board certified psychiatric mental health nurse practitioner (PMHNP) for a flexible PRN position. This role requires PMHNP experience and offers an hourly rate of $80-85. The position allows for weekend, holiday, and occasional we...

Posted 5 days ago

Recent

Local Contract Nurse Practitioner - Psychiatry

$162k/yr
New

LanceSoft

Long Island, Queens
Part-Time

LanceSoft is seeking a Nurse Practitioner Psychiatry for a local contract job in Long Island, New York. Job Description & Requirements - Specialty: Psychiatry - Discipline: Nurse Practitioner - Start Date: 04/13/2026 - Duration: 13 weeks - 40 hours per week - Shift: 8 hours, days, evenings, nights, ...

Posted 2 days ago

Recent

Local Contract Nurse Practitioner - Psychiatry - $70-90 per hour

$146k-$187k/yr

LanceSoft

Long Island, Queens
ContractOn-site

LanceSoft is seeking a Nurse Practitioner Psychiatry for a local contract job in Long Island, New York. Job Description & Requirements Specialty: Psychiatry Discipline: Nurse Practitioner Duration: 52 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract Psychiatric Mental Hea...

Posted 6 days ago

Recent

Psych Nurse Practitioner (PMHNP) - (PRN Remote Contract) - AZ, NJ, TN, IN, KY, OH, PA, WI, MI, VA, and/or MD

$75-$80/hr

Seven Starling

Remote
ContractRemote

About Seven Starling Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of motherhood. Seven Starling's holistic clinical model combines specialized therapy, peer support, and medication management to effectively treat common perinatal mood dis...

Posted on Feb 10, 2026

Psychiatric Nurse Practitioner- Contractor 6/24/2021

$102k/yr
New

Urban Behavioral Associates

Bowie, Prince George's County
Part-Time

Summary/Objective The psychiatric nurse practitioner diagnoses prescribe medication, monitors medication side effects and participates in the treatment process. Essential Functions Completes initial Psychiatric Evaluation Evaluates all available clinical data (including laboratory and other instrume...

Posted today

1099 Remote Psychiatric Mental Health Nurse Practitioner - ANCC or AANP

$267k/yr
New

Seasoned Recruitment

Hanes, Forsyth County
ContractRemote

Are you an experienced PMHNP seeking unparalleled flexibility and support in a remote setting? Seasoned Recruitment is partnering with a rapidly growing telemedicine platform to find dedicated Psychiatric Mental Health Nurse Practitioners (PMHNPs) for remote, independent contractor (1099) roles. Why...

Posted today

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Top Employers

  • Seasoned Recruitment72 jobs
  • Talkspace Psychiatry50 jobs
  • Fcs Co12 jobs
  • Lyra Health10 jobs
  • Harmony United Psychiatric Care8 jobs
  • Headway - Design & Development7 jobs
  • OptiMindHealth7 jobs
  • FCS, Inc.6 jobs

1099 PMHNP Tips

  • Set aside 25-30% of income for taxes
  • Form an LLC for liability protection
  • Max out your SEP-IRA or Solo 401k
  • Get your own malpractice policy
  • Track all business expenses for deductions

1099 PMHNP FAQs

What is a 1099 PMHNP position?

A 1099 PMHNP 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 20-40% higher gross pay than W2 positions.

How much do 1099 PMHNPs earn compared to W2?

1099 PMHNPs typically earn $75-$150+/hour gross, which is 20-40% higher than W2 rates. However, after accounting for self-employment tax (15.3%), health insurance ($500-$1,500/month), malpractice insurance ($1,500-$3,000/year), and retirement contributions, net take-home is often comparable to a W2 position paying 15-20% less.

What are the tax advantages of 1099 PMHNP work?

1099 PMHNPs can deduct business expenses including home office, mileage, professional development, malpractice insurance, health insurance premiums, retirement plan contributions (SEP-IRA up to $66,000/year or Solo 401k), technology/equipment, and professional memberships. These deductions can significantly reduce taxable income.

Should new grad PMHNPs 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 PMHNPs transition to 1099 after 2-3 years of experience when they can negotiate better rates and manage the business aspects.

What do 1099 PMHNPs need to set up?

1099 PMHNPs 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.