1099 PMHNP Jobs — Independent Contractor

Last Updated: March 2026 | 510 1099 psych NP positions available

Discover 510 independent contractor psychiatric nurse practitioner positions

510
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 (510)

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PRN Psychiatric & Family Nurse Practitioner - Now Hiring

$90-$120/hr

Advanced Recovery Systems

Waldorf, Maryland
PRNIn-Person

Description We are seeking a compassionate PRN Psychiatric & Family Nurse Practitioner to join our team! Advanced Recovery Systems is a trusted, physician-led behavioral healthcare company dedicated to providing evidence-based, expert care for addiction and mental health conditions. We work with h...

Posted on Feb 21, 2026

Psychiatric Nurse Practitioner APRN/PNP/PMHNP

$114k - $135k/yr

OptiMindHealth

Westminster, Colorado
Full-TimeOn-site

Psychiatric Nurse Practitioner (PNP/PMHNP) Position Requirement: Full-Time FLSA Status: Exempt Location: Westminster, Colorado Salary: 114K - 135K+ Summary: OptiMindHealth (OMH) is a growing multistate mental health and wellness practice comprised of dedicated physicians, psychologists, clin...

Posted on Feb 15, 2026

Psychiatric Mental Health Nurse Practitioner (PMHNP) – 1099 Contractor

$150k-$205k/yr

Integrum Medical

Phoenix, Arizona
ContractHybrid

Psychiatric Mental Health Nurse Practitioner (PMHNP) – 1099 Contractor Location: Phoenix, AZ | Hybrid – Clinic & Mobile Facility Visits About Integrum Medical Integrum Medical is a multi-specialty group providing integrated Primary Care and Mental Health services across the Phoenix metro area. We...

Posted on Feb 15, 2026

PRN Psychiatric Nurse Practitioner PMHNP

NaphCare, Inc.

Des Moines, Iowa
Full-TimeIn-Person

NaphCare, Inc. is now hiring PRN Psychiatric Nurse Practitioner PMHNP in Des Moines, IA. View job listing details and apply now. of Openings 1 Status PRN Shift 1st NaphCare is hiring a strong PRN Psychiatric Nurse Practitioner PMHNP to join our team at Polk County Jail located in Polk County IA Come...

Posted on Feb 10, 2026

PRN Nurse Practitioner- Jack, Alabama

$53-$67/hr

Marathon Health

Jack, Alabama
PRNIn-Person

Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmac...

Posted on Feb 10, 2026

APRN, Psychiatry

$140k-$160k/yr

Heartland Community Health Center

Lawrence, Kansas
ContractOn-site

Job title APRN, Psychiatry Reports to Director of Psychiatry Status Exempt (Contract $140,000 - $160,000) Job purpose The primary responsibility of the Psychiatric APRN will be to assist the Director of Psychiatry in the delivery of an effective, efficient program of psychiatric services to a...

Posted on Feb 10, 2026

APRN INPATIENT - PSYCHIATRY

$53-$75/hr

UNM Sandoval Regional Medical Center

Rio Rancho, New Mexico
Full-TimeOn-site

UNMH Psychiatry departments has an opening for Advance Practice medical provider (FNP, PA, AG-ACNP) for our inpatient hospitalist team. We offer medical service for our admitted adult patients currently 5 days a week could expand to weekends. There is also opportunity to have clinic time in our prim...

Posted on Feb 10, 2026

PMHNP- 1099 Remote

$85-$95/hr

Ria Health

Los Angeles, California
ContractRemote

Description ABOUT RIA HEALTH Ria Health is on a mission to bring effective evidence-based treatment for alcohol use disorder to all Americans. Our team consists of empathetic mission-driven professionals coming together to support the quality and availability of our national telehealth alcohol tre...

Posted on Feb 10, 2026

Psychiatric Nurse Practitioner (Contract)

Monroe & Weisbrod

North Carolina
ContractOn-site

We're seeking a full-time Psychiatric Nurse Practitioner in Washington, NC for contract work. The position is a mix of Inpatient and Outpatient work (Inpatient rounds in the morning, and Outpatient clinic in the afternoon). On-Call duties are included in the Inpatient role. All travel and lodging ex...

Posted on Feb 10, 2026

Psychiatric Nurse Practitioner – Child & Adolescent (Weekend PRN)

Direct Apply

UHS

Louisville, Kentucky
PRN

Responsibilities Psychiatric Nurse Practitioner - Child & Adolescent (Weekend PRN) The Brook – KMI is a 98-bed hospital offering a full continuum of inpatient, extended care, residential, partial hospitalization and outpatient services for adolescents, adults and seniors. Our specialized treatmen...

Posted on Feb 10, 2026

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Top Employers

  • Seasoned Recruitment73 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.