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Nurse Practitioner First Assistant Jobs in Raleigh, NC

Physician Assistant/Nurse Practitioner

Raleigh, NC ยท On-site

$106K - $137K/yr

Nurse Practitioner / Physician Assistant (Aesthetic and Wellness) Position Overview We are seeking a motivated and patient-focused Nurse Practitioner (NP) or Physician Assistant (PA-C) to provide ...

Aesthetic NP/PA

Raleigh, NC

$106K - $137K/yr

... first philosophy. Raleigh Dermatology , an affiliate of Anne Arundel Dermatology , is seeking a Board Eligible/Board Certified Aesthetic Nurse Practitioner or Physician Assistant with 2+ years of ...

Aesthetic NP/PA

Raleigh, NC ยท On-site

$106K - $137K/yr

... first philosophy. Raleigh Dermatology , an affiliate of Anne Arundel Dermatology , is seeking a Board Eligible/Board Certified Aesthetic Nurse Practitioner or Physician Assistant with 2+ years of ...

Aesthetic NP/PA

Raleigh, NC ยท On-site

$106K - $137K/yr

... first philosophy. Raleigh Dermatology , an affiliate of Anne Arundel Dermatology , is seeking a Board Eligible/Board Certified Aesthetic Nurse Practitioner or Physician Assistant with 2+ years of ...

Nurse Practitioner (Full-Time/Direct-Hire Position with Excellent Full Benefits, Competitive Compensation Package and more!) We're looking for a Physician Assistant or Nurse Practitioner to become an ...

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Nurse Practitioner First Assistant information

See Raleigh, NC salary details

$77.3K

$124.1K

$171.1K

How much do nurse practitioner first assistant jobs pay per year?

As of Aug 23, 2026, the average yearly pay for nurse practitioner first assistant in Raleigh, NC is $124,117.00, according to ZipRecruiter salary data. Most workers in this role earn between $106,000.00 and $137,100.00 per year, depending on experience, location, and employer.

What is a nurse practitioner first assistant?

A Nurse Practitioner First Assistant (NPFA) is an advanced practice registered nurse who assists surgeons during surgical procedures. In this role, they provide direct patient care before, during, and after surgery, and perform specific tasks such as suturing, controlling bleeding, and handling tissues under the supervision of a surgeon. NPFA professionals are required to have specialized training and certification in surgical first assisting, in addition to their nurse practitioner credentials. Their expertise helps ensure surgeries run smoothly and patients receive comprehensive care throughout the surgical experience.

What are the key skills and qualifications needed to thrive as a nurse practitioner first assistant?

To thrive as a Nurse Practitioner First Assistant, you need advanced clinical knowledge, surgical assisting expertise, and an active RN license with completion of a Nurse Practitioner program and a First Assistant certification (such as RNFA). Familiarity with surgical instruments, electronic health records (EHRs), and perioperative care protocols is essential. Excellent communication, critical thinking, and teamwork skills help ensure safe and efficient collaboration with surgeons and operating room staff. These competencies are crucial for optimizing patient outcomes and providing high-quality surgical support.

How does a nurse practitioner first assistant typically collaborate with surgeons and other operating room staff during procedures?

As a Nurse Practitioner First Assistant (NPFA), you work closely with surgeons, anesthesiologists, and surgical nurses to ensure optimal patient outcomes during operations. Your responsibilities include providing direct surgical assistance, such as suturing, controlling bleeding, and handling tissues, as well as anticipating the surgeon's needs throughout the procedure. Effective communication and teamwork are crucial, as you help coordinate patient care before, during, and after surgery. This collaborative environment not only enhances patient safety but also offers valuable opportunities for professional development and skill-building within a multidisciplinary team.

What is the difference between Nurse Practitioner First Assistant vs Physician Assistant?

AspectNurse Practitioner First AssistantPhysician Assistant
CredentialsRegistered Nurse (RN) + specialized training or certification as a First AssistantMaster's degree in Physician Assistant Studies + certification (PANCE)
Work EnvironmentOperating rooms, surgical teams, hospitalsHospitals, clinics, surgical settings
Roles & ResponsibilitiesAssisting surgeons during procedures, pre- and post-operative carePerforming exams, diagnosing, assisting in surgeries

Both Nurse Practitioner First Assistants and Physician Assistants work closely in surgical settings, assisting during procedures and providing patient care. While Nurse Practitioner First Assistants typically have advanced nursing credentials and specialized surgical training, Physician Assistants hold a master's degree and are trained to perform a broad range of medical tasks. Understanding these differences helps clarify their roles in healthcare teams.

What cities near Raleigh, NC are hiring for Nurse Practitioner First Assistant jobs?

Cities near Raleigh, NC with the most Nurse Practitioner First Assistant job openings:

Infographic showing various Nurse Practitioner First Assistant job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $124,117 per year, or $59.7 per hour.

Neurosurgery NP Needed for Locum Coverage at Inpatient Facility in North Carolina (ORD-219041-NP-NC)

NPHire

Raleigh, NC โ€ข On-site

$110 - $150/hr

Other

Posted 11 days ago


Job description

This Job at a Glance.

Job Reference Id: ORD-219041-NP-NC. Title: NP. Dates Needed: January 2027 - Ongoing. Shift Type: Night Shift. Assignment Type: Inpatient. Call Required: No. Board Certification Required: Yes. Job Duration: Locums.

About the Facility

This 974-bed tertiary hospital operates as a JCAHO-accredited Level 1 Trauma Center and functions as part of an established health system. The facility maintains 24/7 inpatient neurosurgical support with an established team of 9 Neurosurgeons and 9 APPs. Clinical infrastructure and protocols are in place to support continuous inpatient neurosurgical coverage across all assigned shifts.

About the Facility Location

North Carolina offers a range of activities suited to varied interests, including outdoor recreation, scenic natural landscapes, and regional cultural attractions. The state provides year-round opportunities for exploration, with diverse environments spanning coastal areas, mountain regions, and urban centers. Clinicians on assignment will find accessible dining, shopping, and entertainment options throughout the region.

About the Clinician's Workday

The nurse practitioner will provide night shift inpatient neurosurgical coverage from 7:00 PM to 7:00 AM on a one week on, one week off schedule, beginning January 2027 at a JCAHO-accredited, 974-bed tertiary hospital and Level 1 Trauma Center. Clinical responsibilities include managing admissions, discharges, consultations, and OR first assist as desired; discharges at night are not typical but remain a possibility. The clinician will work alongside an established team of 9 Neurosurgeons and 9 APPs providing 24/7 inpatient support. Current BLS and ACLS certifications through the American Heart Association are required, and the candidate must report for orientation the day prior to the first shift.

Additional Job Details.

Case Load/PPD: Variable. Support Staff: 9 Neurosurgeons, 9 APPs. Patient Population: All Ages. Location Type: On-Site. Prescriptive Authority Required: Yes. Government: No.

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