Nurse Practitioner Jobs in Texas
Nurse Practitioner jobs in Texas are among the most active in the country, concentrated in primary care, urgent care, and specialty practices, with openings at every level from new graduates through seasoned practitioners with supervisory responsibilities. The heaviest hiring is in Houston, Dallas, and San Antonio, where large systems like HCA Healthcare, Baylor Scott & White Health, and UT Health operate extensive outpatient and inpatient networks. Family practice, psychiatric-mental health, and acute care are the most consistently in-demand specialties statewide. Find a role that fits below and apply directly.
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Healthcare
- Pilot Point, United States, (On-site)
- Full-time
- 3+ years
- Apply by Sep 6, 2026
- Salary is flexible
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Job description
About the Role
We are seeking an experienced, independent, highly skilled, and technology-proficient Nurse Practitioner (NP) to join our new rural primary care practice serving Pilot Point, Texas, and the surrounding communities.
This is an exciting opportunity for an NP to join a practice at an early stage and play an important role in establishing clinical workflows, developing processes, building community relationships, and supporting the growth of the practice. Rather than stepping into an established practice with fixed systems and processes, you will have the opportunity to help establish, refine, and improve how we deliver care.
As a newly established primary care practice, we are looking for someone who is comfortable working in an entrepreneurial and evolving environment where processes and systems are still being developed. The ideal candidate is proactive, adaptable, collaborative, and enjoys building systems, solving problems, taking initiative, and helping create a high-performing healthcare practice.
The NP will provide comprehensive, patient-centered primary care with a strong emphasis on preventive medicine while also contributing to clinical operations, practice development, community outreach, patient growth, quality improvement, and team development.
This position offers the opportunity to have a meaningful impact on how the clinic operates, how patients experience their care, and how the practice develops relationships throughout Pilot Point and the surrounding communities.
The role will leverage advanced healthcare technology, including Clinical Decision Support Systems (CDSS), Remote Patient Monitoring (RPM), telehealth, electronic health records, and AI-powered clinical documentation tools. Training will be provided for all clinical systems and digital tools.
In Texas, the NP will practice under a delegation agreement with a supervising physician, in compliance with applicable state regulations.
Key Responsibilities
Provide comprehensive primary care services, including:
Preventive care
Chronic disease management
Acute illness treatment
Develop and implement personalized preventive care plans focused on:
Lifestyle modification
Early disease detection
Risk factor management
Utilize Clinical Decision Support Systems (CDSS) to enhance.
Diagnostic accuracy
Evidence-based treatment planning
Implement and manage Remote Patient Monitoring (RPM) programs to:
Track chronic conditions
Enable early intervention
Conduct and support telehealth consultations to
Expand access to care
Collaborate with physicians and specialists
Leverage AI-powered scribing tools to:
Streamline clinical documentation
Improve workflow efficiency
Collaborate with physicians and multidisciplinary teams to deliver:
Integrated, patient-centered care
Educate patients on preventive healthcare strategies, including:
Nutrition
Exercise
Vaccinations
Routine screenings
Ensure compliance with:
Health Insurance Portability and Accountability Act (HIPAA)
Texas state regulations
Organizational policies
Stay current with advancements in:
AI in healthcare
Telemedicine
Digital health platforms
Participate in quality improvement initiatives to:
Enhance patient outcomes
Optimize preventive care delivery
Qualifications & Skills
Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited institution
Board-certified Nurse Practitioner (Family Medicine or related specialty)
Active Texas NP license (or eligibility to obtain)
Practice under a delegation agreement with a supervising physician
BLS required; ACLS preferred
Spanish-speaking ability (strong plus)
Proficiency with Electronic Health Records (EHR)
Familiarity with Clinical Decision Support Systems (CDSS) and AI-assisted documentation tools is preferred, but not required.
Strong commitment to: Preventive care, Evidence-based medicine, Patient-centered outcomes
Excellent, Communication skills, Collaboration ability, Clinical decision-making
Strong understanding of: HIPAA compliance, Data privacy and security
Skills & tools
Requirements
Experience
3+ years
Education & certifications
- Master's Degree
Skills & tools
Requirements
Experience
3+ years
Education & certifications
- Master's Degree
See All 335+ Nurse Practitioner Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Nurse Practitioner JobsNurse Practitioner Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Nurse Practitioner Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- TeamHealth22

- Houston Methodist13

- Baylor Scott & White Health13

- Legion Health12

- CHRISTUS Health12

Top Industries Hiring
- Healthcare & Medical Services25
- Education3
- Insurance1
What Texas Employers Look For
The qualifications that appear most often in nurse practitioner jobs across Texas.
- Active Texas NP license issued by the Texas Board of Nursing
- Current national certification from ANCC or AANP in a recognized specialty
- Master of Science in Nursing or Doctor of Nursing Practice from an accredited program
- Active and unrestricted DEA registration for controlled substance prescribing authority
- Minimum of one to two years of NP or RN clinical experience in a relevant care setting
- Current BLS and ACLS certification from an accredited provider
Nurse Practitioner Jobs in Texas: Frequently Asked Questions
How do you become a nurse practitioner in Texas?
You become a licensed nurse practitioner in Texas by earning a Master of Science in Nursing or Doctor of Nursing Practice from an accredited program, passing a national certification exam through ANCC or AANP, and then applying for advanced practice registered nurse licensure through the Texas Board of Nursing. Texas also requires you to establish a prescriptive authority agreement with a supervising or collaborating physician before you can prescribe medications independently in most practice settings.
How much do nurse practitioners make in Texas?
Nurse practitioners in Texas earn a median of about $131,670 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $96,880 for the lowest 10% to over $161,980 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire nurse practitioners in Texas?
Employers hiring nurse practitioners in Texas right now include TeamHealth, Houston Methodist, and Baylor Scott & White Health, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems, federally qualified health centers, and growing urgent care networks consistently maintain some of the highest NP hiring volumes in the state.
Which Texas cities have the most nurse practitioner jobs?
Houston, Dallas, and Austin have the most nurse practitioner openings in Texas right now. Houston's concentration of medical center campuses and regional hospital networks drives the highest absolute volume, while Dallas and San Antonio reflect strong suburban clinic growth and the presence of several large multispecialty and academic health system employers anchoring those metro areas.
Are there remote nurse practitioner jobs in Texas?
Yes, but they're rare. About 29% of nurse practitioner openings tied to Texas are remote or hybrid as of August 2026, reflecting the hands-on clinical nature of most NP roles. The positions most likely to offer remote or telehealth-only arrangements are in psychiatric-mental health, chronic disease management, and utilization review, where patient interaction does not require an in-person visit.
How can I get hired as a nurse practitioner in Texas with little or no experience?
The most realistic entry path is applying to a new-graduate NP residency or fellowship program, several of which are offered by large Texas employers including Baylor Scott & White Health and UT Health. These structured programs provide supervised clinical hours across specialties and are designed specifically for NPs without post-certification experience. Candidates who already hold an RN license in Texas can also transition into NP roles more easily by targeting positions that list RN experience as equivalent to NP experience, particularly in primary care and urgent care settings. Completing your national ANCC or AANP certification before applying puts you ahead of candidates still in the process.
Where can I find and apply to nurse practitioner jobs in Texas?
You can find and apply to nurse practitioner jobs in Texas on Migrate Mate, which lists current Texas openings across Houston, Dallas, San Antonio, and beyond. Find roles that fit your specialty and experience level and apply directly to each employer through the listing.
See All 335+ Nurse Practitioner Jobs in Texas
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