1099 Positions in Texas (4)
View All Jobs →Telehealth Opportunity: Psychiatric Mental Health Nurse Practitioner (PMHNP)
Grand Prairie, Texas
PMHNP with CALIFORNIA License
Highland Park, Texas
PMHNP with CALIFORNIA License
Fort Sam Houston, Texas
PMHNP with CALIFORNIA License
Trammells, Texas
Top Employers
- Rula Health3
- Seasoned Recruitment1
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 Texas
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
Texas at a Glance
Independent-contractor (1099) PMHNP roles in Texas 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 TX self-employment tax exposure. Texas grants restricted practice authority requiring physician supervision, and the state's below-average cost of living (index 92) 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 4 active postings reflect a smaller pool of openings for psychiatric nurse practitioners across Texas.
Texas requires PMHNPs to have a prescriptive authority agreement with a supervising physician.