Internal Medicine NP (FNP) | New Grads Welcome | $115K-$130K + Benefits | Hybrid Flexible Schedule

An independent internal medicine practice in Sylva, North Carolina is hiring a Family Nurse Practitioner as its second provider. The physician owner personally introduces you to patients during ramp-up, handing off her panel one patient at a time at your pace. Start at 18 patients per day, build from there. Monday through Thursday 8:30 AM to 5:00 PM, Friday until 2:00 or 3:00 PM — no overtime expected. Room to grow into integrative care, aesthetics, and hormone replacement therapy. New graduates welcome. $115,000 to $130,000 base plus a 25% profit-sharing productivity bonus above a $25,000 threshold.

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Key Responsibilities

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• Provide internal medicine and primary care to adults and older adults ages 16 and up
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• Start at approximately 18 patients per day, building toward a full panel over time
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• Deliver telehealth consultations extending patient access
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• Document encounters promptly in Athena EMR with accurate CPT and ICD-10 coding
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• Follow practice ACO standards for patient engagement and quality measures
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• Build and retain your own patient panel over time
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• Develop skills in integrative care, aesthetics, and hormone replacement therapy as services expand
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Qualifications

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• MSN or higher | FNP, AGNP, AGPCNP, or ANP certification required
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• Active North Carolina NP license before start; candidates outside region must relocate
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• Active NPI number, valid DEA certificate, and CAQH account required
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• Minimum 1 year prior RN experience required
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• Willingness to commit to the practice for at least 2 years
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• Familiarity with CPT and ICD-10 coding required
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• 1 year primary care NP experience preferred
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• Medicare and Medicaid enrollment preferred; not required at hire
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Schedule & Compensation

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• $115,000–$130,000/year + 25% profit-sharing productivity bonus above $25,000 threshold
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• Full-time | Monday–Thursday 8:30 AM–5:00 PM | Friday until 2:00–3:00 PM
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• No overtime expected | In-person and telehealth | Sylva, NC
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• Malpractice covered | Medical, dental, vision insurance
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• $500 annual CME allowance | 50% DEA renewal covered after initial employment period
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• Hands-on mentorship from physician owner
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• Immediate hire
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📋 The application and hiring process for this position will be managed through NPHire, a nurse practitioner and physician assistant job board connecting APPs with top opportunities nationwide.