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Nurse Practitioner First Assistant Jobs in Spring, TX

CareNow Urgent Care - Midtown

NP - Urgent Care

Houston, TX · On-site

$104K - $134K/yr

PRN Physician Assistant Or Nurse Practitioner CareNow Urgent Care is seeking PRN, board-certified ... Ability to perform first reads on x-rays * Skills to perform patient treatment procedures for most ...

Cherry Talent Group

Nurse Practitioner

Katy, TX · Hybrid

Women's Health Nurse Practitioner Location: Katy, TX PT- 3 days/week Salary: $112,000 - $140,000 We ... There, patient care comes first- not paperwork or quotas. They offer longer appointment times so ...

Gohealthuc

Nurse Practitioner

Spring, TX

... Assistants or Nurse Practitioners who have urgent care or emergency room experience,treating both adult and pediatric patients. Join our welcoming and diverse community of providers in our ...

New

Gohealthuc

Nurse Practitioner

Houston, TX

Memorial Hermann - GoHealth Urgent Care Nurse Practitioner - Full Time - Louetta Due to our growth and expansion, Memorial Hermann - GoHealth Urgent Care is seeking experienced Physician Assistants ...

GEO Group

NURSE PRACTITIONER, PSYCHIATRIC

Conroe, TX · On-site

Nurse Practitioner, Psychiatric GEO provides complementary, turnkey solutions for numerous ... Does not prescribe for insomnia but first refers patients to a psychologist, social worker, or ...

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Nurse Practitioner First Assistant information

See Spring, TX salary details

$70.7K

$113.6K

$156.6K

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

As of Aug 8, 2026, the average yearly pay for nurse practitioner first assistant in Spring, TX is $113,623.00, according to ZipRecruiter salary data. Most workers in this role earn between $97,000.00 and $125,500.00 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 Spring, TX? For Nurse Practitioner First Assistant jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Nurse Practitioner First Assistant jobs in Spring, TX look for? The top searched job categories for Nurse Practitioner First Assistant jobs in Spring, TX are:
What cities near Spring, TX are hiring for Nurse Practitioner First Assistant jobs? Cities near Spring, TX 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 Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $113,623 per year, or $54.6 per hour.

Advanced Practice Provider | Columbus Cardiology

Memorial Hermann Health System

Houston, TX • On-site

$104K - $134K/yr

Full-time

Re-posted 11 days ago

Memorial Hermann Health System rating

7.7

Company rating: 7.7 out of 10

Based on 286 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers

Job description

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
Responsible for providing comprehensive patient care congruent with role and approved population foci (Family/Individual across lifespan, Adult/Gerontology, Neonatal, Pediatrics, Women's Health/Gender Related, Psychiatric Mental Health) through systemic assessment, diagnosis, treatment, management, and follow up affecting direct patient care.Job Description
Minimum Qualifications
Nurse Practitioner / Advanced Practice Nurse
Education: Graduate of a Nurse Practitioner program approved by the State of Texas. Masters required. May encompass the following specialties: CRNA, CNM, CNS, CNP. May encompass the following specialties: CRNA, CNM, CNS, CNP
Licenses/Certifications:
  • Licensed to practice professional nursing by the State of Texas
  • Licensure by the State of Texas APRN and eligibility for full prescriptive authority by the State of Texas
  • Certified by a recognized national certification by the State Board of Texas in area of population foci and/or additional specialty recognition beyond the APRN
  • Eligibility for DEA licensure
  • Basic Cardiac Life Certification or Advanced Cardiac Life Certification

Physician Assistant
Education: Graduate of a nationally accredited Physician Assistant program; Masters strongly preferred
Licenses/Certifications:
  • Certified by the National Commission on Certification of Physician Assistants, Inc.
  • Licensed by the Texas State Board of Physician Assistant Examiners
  • Eligibility for DEA licensure
  • Basic Cardiac Life Certification or Advanced Cardiac Life Certification)

Experience / Knowledge / Skills:
  • Two (2) years clinical experience preferred in area of intended practice
  • First Assist and/or EVD experience preferred

Principal Accountabilities
  • Provides health promotion and the assessment, diagnosis, and management of patient problems which includes the use and prescription of pharmacologic and non-pharmacologic intervention, assessment, triage, and therapeutic management of patient/family needs throughout the disease process and across the health wellness-illness continuum as an integral part of an interdisciplinary team, according to the age/needs of the patient population served.
  • For prescriptive authority, APRN or PA acts under the delegation of a supervising physician, maintaining an active Prescriptive Authority agreement in accordance with regulations and policy.
  • Practices within approved protocols, guidelines, and clinical pathways and evidence based medicine.
  • Transitions between inpatient/outpatient.
  • Directs and evaluates throughput; delegates or provides backup assistance including triage.
  • Ability to float, round to multiple facilities and/or take call (first call).
  • External Ventricular Drain (EVD) Insertion (Mischer Neurosciences only).
  • Provides accurate billing, coding and documentation.
  • Completes medical records and submit charges in a timely manner.
  • Responsible for overall unit performance in collaboration with physicians or other providers.
  • First Assist physicians in performing surgical procedures by providing support as needed.
  • Obtains medical histories; performs physical examinations/ reviews/orders/interprets diagnostic tests and radiographic results; formulates and manages patient treatment plan and outcomes; provides interventions and performs procedures within legal cope and authority that the APRN or PA is approved, delegated to and credentialed to perform including but not limited to incision and drainage, pelvic exams, lesion removal/destruction, suturing, and casting/splinting.
  • Collaborates in the development and evaluation of patient care. Updates clinical guidelines/protocols/pathways; works autonomously and accepts accountability for outcomes; signs orders in accordance with institution and state board requirements; collaborates in research and teaching projects and applies research to practice.
  • Uses interpersonal and verbal communication skills to educate patient/family on care resources; participates in process improvement and multidisciplinary clinical outcome improvement activities utilizing advanced nursing expertise.
  • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
  • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
  • Other duties as assigned.

What Memorial Hermann Health System employees say

Pay

Benefits

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Workplace

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About Memorial Hermann

Sourced by ZipRecruiter

The Memorial Hermann Southwest Hospital Women's Services is a magnet hospital as well as a level 3 designated facility with a blend of high-risk and community patients. This creates a fast-paced environment and a chance to work with a diverse population. Our Labor & Delivery unit has a low c-section rate and is extremely collaborative and close-knit. We have the ability to cross-train through all areas of Women's Services. We have a family-like atmosphere with an amazing amount of comradery, and our low turnover rates attest to this. Nurses here feel like they not only have autonomy but can also be advocates for their patients. MHSW not only prides ourselves on evidenced based practice, but nurses have a strong voice.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Houston, TX, US

Year founded

1907

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