Neurosurgery Physician Assistant or Nurse Practitioner
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.
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
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).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.6 / 10 · top 10% in surgery (pa) | ranked against 367 Surgery (PA) listingslisting-based score, 0–10 |
| Listed pay | $100k–$114k | Surgery median $128k (middle half $113k–$155k)38 comparable listings, Oct 2026 |
| Cost-of-living adjusted pay | ~$110k in purchasing power | Texas index 97.1 (US = 100)BEA Regional Price Parities (2024) |
| Surgery listings in Texas | 17 active | 368 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 8% remote · 88% no call · 45% no weekends40 benchmarked listings |
| Sign-on & loan repayment | sign-on bonus | Texas 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 |
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.
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