Top NP side-gig channels (2026)
Telehealth platforms
SteadyMD, Wheel, Done, Hims, Cerebral, Brave Health. Range $35-$120/hr. Best for FNPs and PMHNPs. Most are 1099, hourly, asynchronous or scheduled visits. Steady demand, very flexible.
Per-diem platforms
Clipboard Health, CareRev, ShiftMed, NurseDash. Pick up clinic or hospital shifts as needed. Hourly equivalent often $80-$150 for NP roles. Hospital float pools pay similarly.
Locum
CompHealth, Weatherby, Barton, Locum Tenens, Staff Care. Higher rate ($90-$180/hr), travel + housing covered. Weekend or vacation work. Agency manages credentialing and scheduling.
Medical writing / consulting
CME modules, clinical content, expert witness, pharmaceutical advisory boards. Higher hourly ($75-$250) but harder to source consistently. Try Wegohealth, ClickUp Health, MD Aware.
Aesthetics
Botox/filler injection at med spas, IV hydration. Requires additional certifications and depends on state scope-of-practice. Highest per-session revenue but more upfront training.
Tax considerations
Most NP side gigs are 1099. You owe self-employment tax (15.3%) on top of regular income tax. The marginal rate matters: side gig income stacks on top of your day job, often pushing you into 24-32% federal brackets. Set aside 35-40% of every side-gig dollar for taxes.
Solo 401(k) and HSA contributions (if 1099) can shelter significant side income from tax. S-corp election can save self-employment tax once side income exceeds ~$60K/year.