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$41.5K

$130.3K

$200K

How much do nurse practitioner rnfa jobs pay per year?

As of Jun 19, 2026, the average yearly pay for nurse practitioner rnfa in the United States is $130,295.00, according to ZipRecruiter salary data. Most workers in this role earn between $108,000.00 and $150,000.00 per year, depending on experience, location, and employer.

What is a Nurse Practitioner RNFA?

A Nurse Practitioner RNFA, or Registered Nurse First Assistant, is an advanced practice nurse who assists surgeons during surgical procedures. In addition to performing traditional nursing duties, RNFAs are trained to help with tasks such as suturing, controlling bleeding, and providing wound exposure. Nurse Practitioner RNFAs must complete specialized education and certification to perform these responsibilities. They work closely with surgeons, anesthesiologists, and surgical teams to ensure patient safety and optimal outcomes during surgery.

How does a Nurse Practitioner RNFA typically interact with surgical teams during procedures?

As a Nurse Practitioner RNFA (Registered Nurse First Assistant), you play a vital role in the operating room by working closely with surgeons, anesthesiologists, and perioperative nurses. You may assist with surgical procedures, provide direct patient care before, during, and after surgery, and help with tasks such as suturing, controlling bleeding, and tissue handling. Effective communication and collaboration with the surgical team are essential to ensure patient safety and smooth workflow. This role offers opportunities to develop advanced clinical skills and often serves as a bridge between surgical and nursing teams for optimal patient outcomes.

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

AspectNurse Practitioner RnfaPhysician Assistant
CredentialsMaster's or Doctorate in Nursing, RN license, Rnfa certificationMaster's or Bachelor's degree in Physician Assistant Studies, PA certification
Work EnvironmentClinics, hospitals, primary care settingsHospitals, clinics, specialty practices
Scope of PracticeDiagnose, treat, prescribe, often with some autonomy depending on state lawsDiagnose, treat, prescribe, generally under physician supervision or collaboration

Both Nurse Practitioner Rnfa and Physician Assistant roles involve diagnosing and treating patients, but Nurse Practitioners often have more autonomy in primary care settings, especially with Rnfa certification. PAs typically work under physician supervision but have a broader scope in certain specialties. The choice depends on your preferred work environment and scope of practice.

How much do RNFA nurses make?

Registered Nurse First Assistants (RNFAs) typically earn between $80,000 and $150,000 annually, depending on experience, location, and healthcare setting. They often work in surgical environments and require specialized training and certification beyond standard nursing credentials.

How to make 200,000 as an NP?

To earn $200,000 as a Nurse Practitioner (NP), professionals often work in high-demand specialties such as acute care, anesthesia, or psychiatric mental health, and may take on additional shifts, work in urban or private practice settings, or pursue leadership roles. Gaining advanced certifications, extensive experience, and working in areas with higher reimbursement rates can also increase earning potential.

What is an RNFA nurse practitioner?

An RNFA (Registered Nurse First Assistant) nurse practitioner is a registered nurse with specialized training who assists surgeons during operative procedures, often working in surgical or perioperative settings. They collaborate with the surgical team, help with patient preparation, and may have additional certifications in surgical assisting. RNFAs typically work under the supervision of a surgeon and require certification such as the CNOR or equivalent.

Do RNFA get paid more than RN?

Registered Nurse First Assistants (RNFAs) typically earn higher salaries than registered nurses (RNs) due to their specialized surgical assisting skills and additional training. RNFAs often work in operating rooms and may require certification and perioperative experience, which contribute to their increased compensation.

What are the key skills and qualifications needed to thrive as a Nurse Practitioner RNFA, and why are they important?

To thrive as a Nurse Practitioner RNFA, you need advanced clinical assessment skills, surgical assisting expertise, and at minimum a master's degree in nursing along with RNFA certification. Familiarity with surgical instruments, electronic health records (EHRs), and perioperative care systems is essential for this role. Critical thinking, strong communication, and teamwork are key soft skills that help coordinate patient care and collaborate with surgical teams. These skills and qualities ensure safe, effective patient outcomes and seamless support throughout the perioperative process.
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What cities are hiring for Nurse Practitioner Rnfa jobs? Cities with the most Nurse Practitioner Rnfa job openings:
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Nurse Practitioner Rnfa jobs near you
Infographic showing various Nurse Practitioner Rnfa job openings in the United States as of June 2026, with employment types broken down into 7% As Needed, 86% Full Time, and 7% Part Time. Highlights an 100% In-person job distribution, with an average salary of $130,295 per year, or $62.6 per hour.
Surgical First Assist - Phoenix, AZ

Surgical First Assist - Phoenix, AZ

MPOWERHealth

Phoenix, AZ • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

Job description

Overview Join Our Team as a Surgical First Assist - Robotics GYN, Spine, Orthopedics (PA/NP/RNFA/CSA) at MPOWERHealth!

At MPOWERHealth, we're more than just a healthcare company-we're pioneers in musculoskeletal care, dedicated to empowering independent physicians with cutting-edge clinical services, groundbreaking technology, and seamless back-office solutions. For over a decade, we've been on a mission to simplify the complex, predict the unpredictable, and create better outcomes for both patients and providers.

Now, we're looking for a skilled and passionate Surgical First Assist to join our team and make a meaningful impact in the OR.

ResponsibilitiesWhat You'll Do

Master Surgical Support

  • Serve as a trusted first assist during robotic and traditional surgeries, including GYN, urology, OB, spine, and orthopedics.
  • Anticipate surgeon needs, maintain a sterile field, and optimize patient positioning.
  • Work seamlessly with the OR team to ensure precision, efficiency, and exceptional patient outcomes.

Own the Pre- and Post-Op Experience

  • Connect with patients before surgery, ensuring they feel informed and at ease.
  • Confirm cases, manage essential documentation, and facilitate smooth patient transfers.
  • Provide detailed handovers to PACU staff to maintain continuity of care.

Grow, Innovate, and Lead

  • Engage in clinical and operational improvement projects, including training and process enhancements.
  • Expand your expertise by learning new surgical specialties and staying ahead in the ever-evolving world of surgery.
QualificationsWhat You Bring

Experience

  • Minimum of 2 years as a Surgical First Assist with robotics experience in GYN, urology, OB, spine, and other specialties.

Education & Certification

  • Graduate of an accredited PA, NP, RNFA, or CSA program.
  • Active state license and national certifications (e.g., NCCPA for PAs, CNOR or RNFA for NPs).

Skills & Mindset

  • Proficiency in MS Office and EMR systems for seamless documentation.
  • Strong interpersonal skills and a customer-focused approach.
  • Ability to work independently and adapt to diverse OR environments.
  • A confident, adaptable team player who thrives in a fast-paced surgical setting.
  • A commitment to continuous learning and delivering exceptional patient care.
Why You'll Love Working with Us

At MPOWERHealth, we take care of the people who take care of others. Here's what we offer:

Multiple medical plan options to fit your needs. Health Savings Account (HSA) with company contributions. Comprehensive dental & vision coverage for you and your family. 401(k) plan with a generous company match to build your future. Paid vacation, sick time, and company holidays to recharge and relax. Wellbeing program with health insurance incentives to support a healthy lifestyle.

Ready to Elevate Your Career?

If you're passionate about surgical excellence, thrive in a dynamic OR environment, and want to be part of a company that's redefining musculoskeletal care, we want to hear from you!

Apply now and take your career to the next level with MPOWERHealth!

#IND456

Employment Type: FULL_TIME

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