1099 PMHNP Jobs — Independent Contractor

Last Updated: March 2026 | 532 1099 psych NP positions available

Discover 532 independent contractor psychiatric nurse practitioner positions

532
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 (532)

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Psychiatric Mental Health Nurse Practitioner (PMHNP) PRN

$123k/yr

Perimeter Healthcare

Springfield, Greene County

About Perimeter Behavioral Health Perimeter Behavioral Health is one of the leading behavioral healthcare providers in the country, serving children, and adolescents. We deliver hope through comprehensive and dedicated treatment programs across several states and care settings. Our programs include ...

Posted 1 week ago

Psychiatric Nurse Practitioner /APRN

Saafe Behavioral Svcs.

Sanford, FL
Full-Time

healthcare for all persons in need of care within the Central Florida area. We are looking for a skilled and compassionate Full-Time APRN to become a part of our team! This is a greatopportunity to join a growing outpatient practice of psychiatrists, nurse practitioners .

Posted 1 week ago

PRN Psychiatric Nurse Practitioner (PMHNP)

$116k/yr

NewVista Behavioral Health

Euclid, Cuyahoga County
Part-Time

Job Address: 20611 Euclid Ave Cleveland, OH 44117 New Vista is currently recruiting for a PRN Psychiatric Nurse Practitioner (PMHNP) at Ethan Crossing of Cleveland. WHO WE ARE The New Vista mission: Inspiring Hope, Restoring Peace of Mind, Healing L ives. At New Vista, our passionate and high...

Posted 1 week ago

Psychiatric Mental Health Nurse Practitioner (1099) (2)

$117k/yr

brightview.com

US

Overview BrightView was founded to give the people in our communities two things: help and hope. We're changing addiction treatment by combating the disease of addiction with a comprehensive treatment approach. We are committed to personalizing our addiction treatment programs to each individual pat...

Posted 1 week ago

D.C. (Waitlist) - Contract Psychiatric Nurse Practitioner (6)

$124k/yr

Talkspace Remote Therapist Roles

US
Part-Time

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health. Want to help over two million people receive quality mental healthcare? Come join our mission to get mental healthcare i...

Posted 1 week ago

Psychiatric Mental Health Nurse Practitioner - Remote (1099 Independent Contractor) (12)

$190k/yr

Rula Health

US
ContractRemote

Rula is a comprehensive behavioral health solution, dedicated to making mental health care work for everyone. Rula takes a patient-first approach, where treatment is more accessible, personalized, and effective. With Rula, it's easy to find a high-quality therapist or psychiatric clinician who accep...

Posted 1 week ago

Advanced Practice Provider (APRN) - Psychiatry Inpatient Child and Adolescent

$181k/yr

Queen's Health System

Wake Island, Honolulu

RESPONSIBILITIES The Queen's Medical Center's Behavioral Health services, offers specialized care for children and adolescents with emotional and behavioral disorders. Psychiatric and mental health treatment is given together with 24-hour nursing care. Specialized treatment based on specific patient...

Posted 1 week ago

Remote PMHNP | Clinical Autonomy & Total Flexibility (1099) (26)

$160k/yr

Seasoned Recruitment

US
Full-TimeRemote

The Role: Care Without the Clutter Are you a Board-Certified PMHNP who loves clinical work but hates the administrative grind? We are looking for independent, patient-focused practitioners to join our telehealth network. As a 1099 Contractor , you aren't just an employee; you are the captain of your...

Posted 1 week ago

Advanced Practice Provider (APRN) - Acute Inpatient Psychiatry

$241k/yr

Hawaii Staffing

Wake Island, Honolulu

Advanced Practice Provider An Advanced Practice Provider (APP) is a medical provider who treats, diagnoses, prescribes, and/or performs or assists in surgical procedures. APPs are licensed healthcare professionals, credentialed and privileged through the Medical Staff Office. APPs work collaborative...

Posted 1 week ago

APRN - Psychiatric Mental Health Nurse Practitioner (PMHNP)

$157k/yr

MLee Medical Employment

East Farms, Spokane County

We are seeking a compassionate and skilled Psychiatric Mental Health Nurse Practitioner to join a dynamic healthcare team in the Pacific Northwest region. This role involves diagnosing and treating patients with a range of mental health and emotional disorders, providing individualized psychotherapy...

Posted 1 week ago

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Top Employers

  • Seasoned Recruitment75 jobs
  • Talkspace Psychiatry50 jobs
  • Fcs Co15 jobs
  • Lyra Health10 jobs
  • Harmony United Psychiatric Care10 jobs
  • OptiMindHealth8 jobs
  • Headway - Design & Development7 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.