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Ascension
Smithville, Texas

Family Medicine NP / PA

Nurse PractitionerPer Diem Physician-Supervised State

Compensation

Pay not listed

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1h ago · Verified live

Job Description

  • Your future role at a glance
  • Location: Smithville, Texas
  • Facility Name: Ascension Seton Smithville
  • Schedule: PRN | Days
  • How you’ll make an impact in this role
  • Join an established team of physicians and APPs
  • Practice setting: outpatient
  • Shared patient panel patient ranging from newborn to seniors

Employed Position Within a Nonprofit Health System

Lead Comprehensive Care Delivery: Direct the treatment and long-term management of diverse health conditions, ensuring every patient receives a personalized and effective care plan.

Empower Patients and Families: Translate medical jargon into actionable guidance, educating caregivers on treatment options and community resources to improve health literacy.

About the Facility

  • Serving a population of Austin, Texas
  • Integrated referral network
  • Part of Ascension, a national nonprofit Catholic health system
  • Why Providers Choose Ascension
  • Physician-led, collaborative culture
  • Long-term practice stability
  • National network with local autonomy
  • Mission-centered care rooted in service
  • What minimum requirements you’ll need

Licensure / Certification / Registration

BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.

Licensed Physician Assistant credentialed from the Texas Medical Board obtained prior to hire date or job transfer date required.

Certified Physician Assistant credentialed from the National Commission on Certification of Physician Assistants (NCCPA) obtained prior to hire date or job transfer date required.

Advanced Life Support preferred. American Heart Association or American Red Cross accepted.

Education

Graduate of accredited Physician Assistant program. Master's degree preferred.

Work Experience

  • 1 year of experience preferred.
  • Othropedic experience
  • Benefits that help you thrive
  • Retirement: 403(b) plan
  • Well-being support: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
  • Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud Prevention Notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees.

To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify Statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Key Responsibilities

Direct the treatment and long-term management of diverse health conditions to ensure personalized care plans for patients. Educate patients and families on treatment options and community resources to improve health literacy.

Requirements

Requires a graduate degree from an accredited Physician Assistant program and licensure from the Texas Medical Board. Must hold BLS certification and NCCPA certification.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Family medicinePatient careTreatment planningPatient educationClinical documentationCare coordinationMedical guidance

Family Medicine — Nurse Practitioner Career Context

Of the 50 active Family Medicine listings this role was benchmarked against, 12% are remote, 78% have no call, 66% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Family Medicine market look like in Texas?
MeasureThis jobMarket
Cost of livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
Family Medicine listings in Texas129 active2,645 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 12% remote · 78% no call · 66% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index, 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.

Top contract/1099 Nurse Practitioner Jobs

39 matches · ranked by pay

Salary Distribution38 jobs · 35 employers

6
<$135k
13
$135k-150k
9
$150k-165k
7
$165k-180k
3
$180k+

Annual compensation range

Benefits & Perks28 jobs

401k / retirement match
82% this job
Sign-on bonus
68%
CME allowance
39%
Loan repayment
7%
Relocation assistance
7%

Share of similar jobs offering each benefit

#1

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Georgia Medical Staffing · Pico Rivera, California

$100 per hour
#2

FNP needed for 3 mo, FT coverageContract

Georgia Medical Staffing · Sacramento, California

$100 per hour
#3

PRN Nurse Practitioner

$150k-$206k
#4

Addiction Medicine SUD Nurse Practitioner BWFH Part Time

$148k-$174k
+ 37 more · ranked by pay

Work-life snapshot

median 6.4this job 3.0
Better work-life than 20% of Family Medicine (NP) listings

Listing-based score, 0–10, across 2,613 comparable listings. Shaded area = the share scoring below this one.

Ascension logo

About Ascension

Hospitals and Health Care
St. Louis, MO
10,000+ employees

Benefits & Perks

403(b) Retirement Plan
Employee Assistance Program
Counseling and Peer Support
Spiritual Care
Stress Management Resources

Living in Smithville

Typical 3-bedroom home value
$319k
Median resident rent
$1,230/mo
Residents’ average commute
29 min
State income tax
None
Sources & methodology

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

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