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Nurse Practitioner First Assistant Jobs in Raleigh, NC

Synectics

Physician Assistant/Nurse Practitioner

Raleigh, NC · On-site

$106K - $137K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Anne Arundel Dermatology

Aesthetic NP/PA

Raleigh, NC · 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 ...

Anne Arundel Dermatology

Aesthetic NP/PA

Raleigh, NC · 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 ...

Anne Arundel Dermatology

Aesthetic NP/PA

Raleigh, NC · 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 ...

New Solutions, Inc

Nurse Practitioner

Cary, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

New Solutions

Nurse Practitioner

Cary, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

New Solutions

Nurse Practitioner

Cary, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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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All JobsNurse Practitioner First JobsNurse Practitioner First Assistant JobsNurse Practitioner First Assistant Jobs in Raleigh, NC

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 15, 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 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.

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 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.

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 are popular job titles related to Nurse Practitioner First Assistant jobs in Raleigh, NC?

For Nurse Practitioner First Assistant jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Nurse Practitioner First Assistant jobs in Raleigh, NC look for?

The top searched job categories for Nurse Practitioner First Assistant jobs in Raleigh, NC are:

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:

Nurse Practitioner First Assistant jobs near you
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, 73% Full Time, 22% Part Time, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $124,117 per year, or $59.7 per hour.

Nurse Practitioner/Physician Assistant - Duke Orthopedics - Adult Reconstruction

Dukehealth.org

Durham, NC • On-site

$98K - $127K/yr

Other

Posted 10 days ago

Job description

As a part of Duke Health's outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.
Duke Advanced Practice Highlights:

  • The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
  • The Duke School of Nursing is consistently ranked as one of the top nursing schools, and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs.
  • Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program.APPs are leaders in multiple arenas within Duke.
  • Duke offers APPs opportunities to practice within team-based integrative care in a tremendous variety of specialties.APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research.
  • Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.
Job Location(s)
Wake County (Raleigh, NC) area
Job Summary
We are seeking a Nurse Practitioner/Physician Assistant for Duke Orthopedics Adut Reconstruction cliniclocations in the Wake County (Raleigh, NC) area to provide direct patient care services in collaboration with the attending physician for patients requiring Adut Reconstruction orthopedic careas well as general orthopedic care. The APP will augment a physician's ability to provide medical services to patients in the operating room and clinic.
Primary hours will be Monday through Friday with hours flexible to meet the needs of the patients.
Job Duties and Responsibilities
  • Provide care for patients needing Adut Reconstruction orthopedic careas well as general orthopedic care by assisting the physician in the operating room and clinic as well as being responsible and accountable for independent patient load/clinic.
  • Coordinate patient care including triage, physical exams, collecting and documenting data, conducting diagnostic and therapeutic procedures and scheduling laboratory studies. May be involved in assisting with peri-operative workflow including scheduling, pre-ops, and post-op follow-up, diagnostic procedures and professional consultations, and prescribing appropriate interventions and medications.
  • Communicate verbally and in writing all pertinent patient information to supervising physician, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
  • Provide timely documentation in the electronic medical record of all relevant data including results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions; communications with physician colleagues.
  • Respond to patient inquiries and concerns via telephone or EPIC MyChart messages and be accessible to consult with supervising physician as needed.
  • Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.
Experience
Prefer Orthopedics work experience as a Nurse Practitioner or Physician Assistant. If a new Nurse Practitioner or Physician Assistant graduate, Orthopedics clinical rotations during your education program. If a Nurse Practitioner must have Registered Nurse First Assist (RNFA) certification.
Job Hours
Primary hours will be Monday through Friday with hours flexible to meet the needs of the patients.
Job Hours
Primary hours will be Monday through Friday with hours flexible to meet the needs of the patients.
Job Eligibility Requirements
Education
  • Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
  • Physician Assistants: Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.
Certification
  • BLS required.
License
  • Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. National certification as a NP required.
  • Physician Assistants: Must be licensed in the state of NC and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants.
  • DEA license required.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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