Neurosurgery Physician Assistant or Nurse Practitioner

Physician AssistantIncludes weekendsNo callPart-Time

Listed compensation

$48-$55/hr

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

Ask the employer about the work setting, nights and shift pattern and time off.

Posted 47m ago · Verified live

Job Description

Benefits

  • Bonus based on performance
  • Employee discounts
  • Opportunity for advancement
  • Paid time off
  • Training & development

About Us

Minimally Invasive Neurosurgery is a physician-led neurosurgical practice in Sherman, Texas, with its own ambulatory surgery center. We care for patients with spine and neurosurgical conditions across North Texas and Southern Oklahoma, and we are a small, close-knit team that genuinely supports each other.

The Role

We are adding an advanced practice provider to our clinic team. This is a part-time hourly position, 20 or more hours per week to start. You will work alongside our experienced PA and our neurosurgeon, sharing the clinic workload and helping us see more patients without sacrificing the time and care each one deserves.

The role is primarily clinic-based, with clinic hours Monday through Friday, 8 a. m. to 5 p. m. Some surgery days may occasionally start earlier or run later. There is no hospital call and only very rare weekend coverage. As our patient volume grows, this position can move to full-time salaried.

What You Will Do

  • See new and follow-up spine and neurosurgery patients in clinic, including post-operative visits.
  • Take histories, perform neurological exams, review imaging, and develop conservative care plans.
  • Document visits thoroughly to support prior authorizations and medical necessity.
  • Educate patients on their diagnosis, treatment options, and what to expect before and after surgery.
  • Coordinate care with our clinical team, referring providers, and therapy services.

Provide occasional surgical first assist coverage when our other PA is unavailable. Training is provided.

Room to Grow

New graduates are welcome. You will train directly with our neurosurgeon and an experienced PA, not through a rotating system of attendings. That means real-time feedback in clinic, case reviews, and graduated responsibility as your skills grow. From there, you can expand into surgical first assisting, take on a broader clinical role, and move to full-time as our practice grows.

What You Need

A Texas PA license with NCCPA certification, or a Texas NP license with APRN recognition and national board certification. New graduates who are eligible for or pending licensure are welcome to apply.

Strong communication skills and attention to detail in documentation.

Willingness to practice under a supervision and prescriptive authority agreement with our neurosurgeon.

Nice to Have

  • Clinical rotation or work experience in neurosurgery, spine, orthopedics, or pain management.
  • Experience with eClinicalWorks (eCW).
  • Surgical or first assist experience.

Compensation and Benefits

$48 to $55 per hour based on experience, with performance-based bonus opportunities. We provide medical malpractice coverage and paid time off that accrues based on hours worked. As clinic volume grows, this position can move to a full-time salaried role.

Minimally Invasive Neurosurgery is an equal opportunity employer.

Key Responsibilities

The provider will see new and follow-up spine and neurosurgery patients in a clinic setting, performing exams and developing care plans. They will also coordinate care with the clinical team and provide occasional surgical first assist coverage.

Requirements

Candidates must hold a Texas PA license with NCCPA certification or a Texas NP license with APRN recognition. Strong communication skills and attention to detail in documentation are required.

Qualifications

Education
Professional certificate or licensure

Key Skills

Spine carePatient educationClinical documentationCare coordinationImaging reviewTreatment planning

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Neurosurgery Physician Assistant or Nurse Practitioner at Minimally Invasive Neurosurgery PLL a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 10% in Surgery (PA) — ranked against 367 active Surgery (PA) listings on WeekdayDoc. Contributing factors include no on-call duties.

Surgery — Physician Assistant Career Context

Of the 40 active Surgery listings this role was benchmarked against, 8% are remote, 88% have no call, 45% require no weekends.

Surgery pay on WeekdayDoc is up 1.9% vs. the prior quarter (through Sep 2026).

Surgery by the numbers
MeasureThis jobMarket
Work-life score6.6 / 10 · top 10% in surgery (pa)ranked against 367 Surgery (PA) listingslisting-based score, 0–10
Listed pay$100k–$114kSurgery median $128k (middle half $113k–$155k)38 comparable listings, Oct 2026
Cost-of-living adjusted pay~$110k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Surgery listings in Texas17 active368 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 8% remote · 88% no call · 45% no weekends40 benchmarked listings
Sign-on & loan repaymentsign-on bonusTexas Physician Assistant listings: 19% state a sign-on bonus · 5% offer loan repayment296 active listings, Oct 2026
Surgery pay trend+1.9% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (367 Surgery (PA) listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$107k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.

Top Physician Assistant Jobs

38 matches · ranked by pay

Salary Distribution

34 jobs · 23 employers
7
<$155k
6
$155k-175k
12
$175k-195k
9
$195k-215k

Annual compensation range

Benefits & Perks

35 jobs · 23 employers
401k / retirement match
80%
CME allowance
51%
Sign-on bonus
46% this job
Relocation assistance
23%
Loan repayment
9%

Share of similar jobs offering each benefit

#1

Nurse Practitioner or Physician Assistant Critical CarePer Diem

Providence · Santa Rosa, California

$94.55-$119.57/hr
#2

Advanced Practice Provider - Nurse Practitioner or Physician AssistantPer Diem

Shriners Children's · Sacramento, California

$78.33-$110.59/hr
#3

Physician Assistant - Otolaryngology Clinic

$48.24-$86.83/hr
#4

Nurse Practitioner / Physician Assistant On-call

$48.07/hr
+ 36 more · ranked by pay

Work-life snapshot

median 2.1this job 6.6
Among the best 10% of Surgery (PA) listings for work-life

Listing-based score, 0–10, across 367 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • Includes weekends
Minimally Invasive Neurosurgery PLL logo

About Minimally Invasive Neurosurgery PLL

Hospitals and Health Care

Benefits & Perks

Bonus based on performance
Employee discounts
Opportunity for advancement
Paid time off
Training & development
Medical malpractice coverage

Living in Sherman

Typical 3-bedroom home value
$247k
Typical market rent
$1,287/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
93.8
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Sherman-Denison, TX metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.