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Office Nurse Practitioner information

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How much do office nurse practitioner jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for office nurse practitioner in the United States is $42.09, according to ZipRecruiter salary data. Most workers in this role earn between $42.07 and $42.07 per hour, depending on experience, location, and employer.

Do office nurse practitioners work in offices?

Yes, office nurse practitioners typically work in medical office settings such as clinics, outpatient facilities, or healthcare practices. They provide patient care, perform examinations, and assist with treatment plans in a clinical environment. Their work often involves collaborating with physicians and using electronic health records.

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

AspectOffice Nurse PractitionerPhysician Assistant
CredentialsMaster's degree in nursing, national certification, state licensureMaster's degree or higher, national certification, state licensure
Work EnvironmentPrimary care clinics, outpatient offices, specialty practicesHospitals, clinics, outpatient settings, sometimes in collaboration with physicians
Roles & ResponsibilitiesDiagnose, treat, prescribe, patient education within scope of practiceDiagnose, treat, prescribe, often work under physician supervision

Office Nurse Practitioners and Physician Assistants share similar roles in providing patient care, diagnosing, and prescribing. However, Nurse Practitioners typically have a nursing background with advanced practice training, while Physician Assistants have a medical model training. Both work in outpatient settings, but their scope of practice and supervision requirements may differ based on state laws.

What are the key skills and qualifications needed to thrive as an office nurse practitioner?

To thrive as an Office Nurse Practitioner, you need advanced clinical knowledge, diagnostic skills, and a Master's or Doctoral degree in nursing along with nurse practitioner certification. Familiarity with electronic health records (EHRs), office-based diagnostic tools, and prescribing systems is typically required. Excellent communication, patient education abilities, and strong decision-making skills help build trust and ensure effective patient care. These competencies are crucial for delivering high-quality, efficient healthcare in an outpatient office setting.

What is an office nurse practitioner?

An office nurse practitioner is an advanced practice registered nurse (APRN) who provides primary or specialty healthcare in a clinic or office setting. They assess patients, diagnose illnesses, order and interpret diagnostic tests, and prescribe medications or treatments. Nurse practitioners often manage chronic conditions, perform routine check-ups, and focus on health promotion and disease prevention. They work independently or collaboratively with physicians and other healthcare professionals to deliver high-quality patient care.

What are some common challenges faced by office nurse practitioners when balancing administrative and clinical responsibilities?

Office Nurse Practitioners often encounter the challenge of managing both patient care and administrative duties, such as documentation, scheduling, and coordination with other healthcare professionals. This balancing act can be demanding, especially during busy clinic hours when patient flow is high. Developing strong organizational skills and leveraging electronic health record (EHR) systems can help streamline tasks. Many find success by collaborating closely with medical assistants and office staff to ensure efficient workflow, allowing more focus on patient outcomes while maintaining compliance with regulatory requirements.
More about Office Nurse Practitioner jobs
What cities are hiring for Office Nurse Practitioner jobs? Cities with the most Office Nurse Practitioner job openings:
Who are the top companies hiring for Office Nurse Practitioner jobs? The top employers for Office Nurse Practitioner jobs are:
What states have the most Office Nurse Practitioner jobs? States with the most job openings for Office Nurse Practitioner jobs include:
Infographic showing various Office Nurse Practitioner job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 10% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 5% Hybrid, and 6% Remote job distribution, with an average salary of $87,553 per year, or $42.1 per hour.

Office Nurse Practitioner

Lexington Medical Center

Columbia, SC • On-site

Full-time

Medical, Dental, Life, Retirement

Re-posted 17 days ago


Lexington Medical Center rating

6.9

Company rating: 6.9 out of 10

Based on 104 frontline employees who took The Breakroom Quiz

551st of 1,056 rated hospitals


Job description

Columbia Medical Group
Full Time
Day Shift
7:30-5 M-Thur, 7:30-11:30 F
Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.
Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.
Job Summary
Assesses the physical and psychosocial status of patients by means of interview, health history, physical examination and diagnostic tests. Interprets the data, develops and implements a plan of treatment, follows through on a continuum of patient care across the health-illness continuum and lifespan within protocols set forth and approved by both the nurse practitioner and practice physicians.
Minimum Qualifications
Minimum Education: None
Minimum Years of Experience: None
Substitutable Education & Experience: None
Required Certifications/Licensure: Current licensure as RN in the State of South Carolina;
Certification by appropriate credentialing organization recognized by South Carolina as Nurse Practitioner;
CPR, BLS.
Required Training: None
Essential Functions
  • Documents all situations, both internally and externally, that may arise out of the ordinary or are necessary to maintain accurate patient charts/records.
  • Provides diagnosis and treatment of common acute illnesses; prevention and maintenance health care to patients with stable chronic illnesses; and performs interim physical examinations for healthy patients within prescribed guidelines:
    • Elicits appropriate present and past medical history and review of systems.
    • Performs appropriate physical examination and orders appropriate diagnostic studies.
    • Discriminates between normal and abnormal findings in history and physical.
    • Establishes appropriate differential diagnosis.
    • Assesses stability of chronic illness and compliance with present therapy; monitors for complications of disease or therapy.
    • Establishes appropriate treatment plan. Assesses need for hospitalization or physician intervention.
    • Determines timing for follow-up and orders appropriate referrals.
    • Counsels regarding health maintenance and disease prevention, and provides anticipatory guidance as appropriate.
  • Provides health education to patients about ways to improve, promote, and maintain their health status, including but not limited to providing educational information on disease/disease processes, self-care practices, and positive lifestyle choices (i.e. diabetes, safe sex, weight loss, smoking cessation, etc.).
  • Maintains accurate records, medication lists, and documentation of care and follow-up for administrative purposes and reimbursement of services. Adheres to agreed-upon format/protocol for documentation or records.
  • Reviews and updates problem list at least on annual visit/episodic visit by patient and initiates problem and medication lists on new patients seen.
  • Documents telephone calls with patients and specialists.
  • Maintains competence in clinical practice. Identifies the knowledge and skills needed through self-assessment, peer review, and supervisory review.
  • Participates in a variety of educational activities in order to maintain and increase competency.
  • Uses continuing education opportunities as a basis for expanding medical knowledge and improving clinical skills, and incorporates these into the daily practice of medicine.
  • Participates in developing, implementing, and interpreting quality assurance/risk management programs.

Duties & Responsibilities
  • Supervises and intervenes with clinical issues and supports/directs triage by clinical staff when necessary. Implements clinical education and training or clinical staff when necessary.
  • Is available for feedback on call-back and triage issues as needed.
  • Identifies barriers to patient care flow or delivery, and assists at formulating corrective action.
  • Adheres to the drug formulary developed by the practice. Prescribes within the practice agreement set forth by supervising physicians 100% of the time. Ensures updated and accurate practice agreement every 2 years as set forth in rules and regulations for prescribing authority.
  • Maintains confidentiality of patient and of patient/practice information with no infractions as noted by supervision.
  • Maintains current signed protocols reviewed and revised annually and as needed
  • Regularly maintains a neat appearance and adheres to department/corporation dress, including the wearing of appropriate identification.
  • Demonstrates responsibility for individual performance and efficient utilization of products, supplies, equipment, and time to ensure the timely completion of duties and to promote financial viability through provision of services at a reasonable cost.
  • Employee follows established safety precautions and procedures in the performance of all duties in order to ensure a safe environment.
  • Ensure Hazardous Waste or Hazardous Waste Pharmaceuticals are discarded, stored, and managed with other compatible waste streams in containers that are properly labeled and closed prior to being shipped offsite for proper disposal. Initial RCRA training is received within 6 months of the hire date and continuing with annual RCRA training.
  • Performs all other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:
  • Day ONE medical, dental and life insurance benefits
  • Health care and dependent care flexible spending accounts (FSAs)
  • Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
  • Employer paid life insurance - equal to 1x salary
  • Employee may elect supplemental life insurance with low cost premiums up to 3x salary
  • Adoption assistance
  • LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
  • Tuition reimbursement
  • Student loan forgiveness

Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.

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