H-1B Visa Family Practice Nurse Practitioner Jobs
Family Practice Nurse Practitioners qualify for H-1B visa sponsorship as a specialty occupation requiring a graduate-level nursing degree. Demand is concentrated in primary care and federally qualified health centers, many of which have established H-1B filing histories and handle LCA certification through in-house HR teams.
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Since 1970, FHCSD’s mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons.
FHCSD is one of the top 10 largest federally qualified health centers in the country, operating more than 90 sites across San Diego County and providing care to more than 227,000 patients each year — 91% of whom are low-income and 29% uninsured.
With a team of more than 3,200 dedicated employees, FHCSD takes pride in the diversity of its staff, which reflects the communities it serves. Working at FHCSD offers more than a paycheck and excellent benefits — it offers the opportunity to make a lasting impact on the health and well-being of San Diego’s communities.
We are currently seeking a Family Nurse Practitioner or Physician Assistant to join our team at La Mesa Family Health Center.
Clinic Details
- Hours: Monday through Friday, 8:30am-5:30pm (closed 12:30am-1:30pm)
- Address: 8530 La Mesa Blvd. #200 La Mesa CA 91942
Duties and Responsibilities
- Provide quality and caring medical services to a diverse patient population
- Perform routine exams, common procedures and screenings
- Order and interpret laboratory tests, imaging, and point-of-care tests
- Evaluate patients with complex problems and refer to appropriate specialists
- Exercise cultural sensitivity and seek assistance with translations if needed
- Complete all required documentation in accordance with departmental standards
- Comply with electronic medical record requirements, including medication reconciliation, finalizing notes, clearing out personal pool, and participating in clinic pool
- Attend all mandatory meetings and minimize incident reports
- Use resources efficiently and practice medicine in a cost-effective manner
- Participate in Clinical Outcomes Program
- Maintain behavioral standards and respectful interactions with colleagues and patients
- Obtain good peer reviews, attend mandatory meetings and minimize incident reports
- Work toward meeting organizational targets for all metrics
- Participate in administrative duties and on-call schedule in a timely manner
- Must keep all required medical credentials active and in good standing
- Perform other duties as assigned
Requirements
- 2 years of experience in outpatient settings
- Current unrestricted license to practice in the State of California
- DEA license
- Current American Heart Association health care provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training
- Experience with underserved, low-income, or homeless community members preferred
- Second language fluency desired, not required
Compensation and Benefits
- $165,000 - $195,000 Full Time Annually (part time and per diem also available)
- CME Credit
- NHSC Loan Repay Eligibility
- Retirement Plan with 50% Employer Match
- Paid Time Off, Extended Sick Leave and Paid Holidays
- Medical/Dental/Vision/FSA/Life Insurance
We are excited to share that the salary range for this position is:
$165,000.00 - $195,000.00
Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net)
FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Family Practice Nurse Practitioner
Verify your NP credentials meet specialty occupation
USCIS requires a directly related degree for specialty occupation status. Your Master of Science in Nursing or Doctor of Nursing Practice satisfies this, but confirm your state licensure and ANCC or AANP board certification are current before any employer files your petition.
Target federally qualified health centers first
Federally Qualified Health Centers are cap-exempt H-1B employers, meaning your petition bypasses the annual lottery entirely. Search Migrate Mate to filter for these employers by LCA filing history under the family practice nurse practitioner occupation code.
Check prevailing wage before negotiating your offer
Your employer's LCA must certify a wage at or above the DOL prevailing wage for your role and location. Run the OFLC Wage Search using SOC code 29-1171 before your offer conversation so you know the floor and can negotiate from an informed position.
Ask employers about their H-1B filing timeline upfront
Cap-subject H-1B registration opens in March for an October 1 start date. If an employer isn't cap-exempt, confirm they're prepared to file during that window so a delayed offer doesn't push your start date back a full year.
Understand how your state license affects portability
If you hold a Compact Nurse Practitioner license, confirm whether your prospective employer's state is a party to the Nurse Licensure Compact. USCIS ties your H-1B petition to the specific employer and work location, so a license valid only in another state creates a filing complication.
Collect clinical documentation before your I-129 is filed
Gather your clinical rotation records, graduate transcripts, and any board certification verification letters before your employer's attorney starts the I-129. Incomplete credential documentation is a leading cause of Requests for Evidence on NP petitions, which adds weeks to processing.
H-1B Visa Family Practice Nurse Practitioner: Frequently Asked Questions
Does a Family Practice Nurse Practitioner role qualify as an H-1B specialty occupation?
Yes. USCIS recognizes family practice nurse practitioner positions as specialty occupations because the role typically requires at least a Master of Science in Nursing or a Doctor of Nursing Practice in a directly related field. Your employer will document this requirement in the LCA and I-129 petition, and your graduate degree and board certification serve as the primary evidence.
How do I find employers who actively sponsor H-1B visas for NP roles?
Search Migrate Mate to identify employers with verified H-1B LCA filing history specifically for nurse practitioner and family practice roles. DOL LCA disclosure data shows which organizations have filed for this occupation code, which tells you far more than a job listing alone. Federally Qualified Health Centers and large health systems appear most frequently in that data.
Are any healthcare employers exempt from the H-1B cap for NP positions?
Yes. Nonprofit hospitals affiliated with universities, federally qualified health centers, and certain nonprofit research organizations are cap-exempt under USCIS rules. Cap-exempt status means your petition can be filed at any time of year and isn't subject to the annual lottery, which is a significant advantage for family practice NP candidates who need scheduling certainty.
What happens to my H-1B status if my NP license lapses or I change states?
Your H-1B petition is tied to the specific employer and work location listed in the approved I-129. If your state license lapses, you're no longer authorized to practice in that role under the terms of your petition. A state transfer requires your employer to file an amended I-129 reflecting the new worksite, and you'll need a valid license in the new state before the amendment is approved.
Can I switch from an F-1 OPT to H-1B while working as a nurse practitioner?
Yes, if your employer files an H-1B petition during the March registration window and you're selected in the lottery or qualify through a cap-exempt employer. STEM OPT does not apply to most nursing degrees, so your OPT timeline is the standard 12 months. Your employer's HR or immigration counsel should initiate the H-1B process before your OPT authorization expires to maintain continuous work authorization.