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Nurse Practitioner First Assistant Jobs in Raleigh, NC

Nurse Practitioner

Angier, NC ยท On-site

$109K - $164K/yr

Nurse Practitioner (NP) / Physician Assistant (PA) Location: Wake County, NC | Field-Based | Full-Time Job Type: Open to Contract or Direct Placement Work Authorization: Must be a U.S. Citizen or ...

Showing results 21-40

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 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, 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.

Family Nurse Practitioner - Physician Assistant

Health Care Specialists of America

Wake Forest, NC โ€ข On-site

$93K - $120K/yr

Full-time

Re-posted 9 days ago


Job description

THE OPPORTUNITY: Physician Assistant or Family Nurse Practitioner
THE LOCATION: Wake Forest, North Carolina
Ready for a change? We have a full time opportunity available for an experienced family nurse practitioner or physician assistant to provide (mostly) primary care with some psychiatric medication management for patients in the South Wake Forest, North Carolina area. In this role, you will see mostly adults, but about 25% of the patients you will see will be children (5 years old and up) and adolescents. Approximately 80% of job responsibilities will be primary care related and 20% psychiatric medication management. This practice is established and focused on providing exceptional patient care.
THE DETAILS
-12-15 patients/day
-Mondays-Fridays / 9am-5pm- 4 clinical days in Wake Forest office and 1 admin day (remote on Fridays)
-No weekends
-Mostly adults / some children and adolescents (younger patients are mostly age 5-18 years old)
-80% primary care / 20% psychiatric medication management
-W2 employed position
-Excellent compensation and benefits
QUALIFICATIONS
** Unrestricted FNP or PA license in North Carolina is required
**At least 1 year of primary care experience as a FNP or PA
**Willingness to see adults, children and adolescents
**Must be computer savvy
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