Nurse Practitioner - Family Practice/Primary Care job available in Spokane, Washington
Quick facts
- Pay
- $111K - $141K/yr
- Type
- Full-time
- Hours
- 40+ hours / week
- Background
- MD / physician
- Experience
- 30+ years
- Industry
- Health and Care — 3087 open jobs
- Visa in listing
- H-1B
- Apply
- Free to apply — never pay anyone for a job offer or visa sponsorship
Job description
Are you an experienced Family Medicine Nurse Practitioner, searching for your next perm position? This position with one of VISTA’s healthcare partners in Spokane, Washington might just be the opportunity for you!
Opportunity Highlights
- Join a primary care patient-centered medical facility dedicated to serving the community offering affordable, high-quality care
- Certified bilingual Medical Assistant dedicated to assisting in translation and patient care
- 40 hours a week with 34 hours of clinical and 6 hours of admin time
- Proudly serving a largely migrant and Latino community
- EMR system is EPIC
- 4-week Medical Spanish Immersion Program in Xayla, Guatemala
- Competitive compensation, $30k Hiring bonus, $20k Relocation allowance, loan repayment, Malpractice insurance coverage (no tail coverage policy needed)
- Medical, dental, and vision benefits at no out-of-pocket cost to employees, Great personal leave time, 8 paid holidays per year, $3,700 annual CME allowance with five days (40 hours) of CME time, Profit-sharing plan 401a, Two retirement plans: 403b and 457b, Automatic life insurance policy and, Employee assistance program
Benefit from living in the Pacific Northwest, where you can enjoy spectacular wilderness areas, crystal-clear lakes, and rivers. You can enjoy fine Northwest wines and a stunning selection of fruits and vegetables. You will also be within an easy drive to a growing metropolitan area, offering fine dining and shopping, theatres, museums, and elite universities
J1 Waiver and H1B welcome!
Spokane, Washington
About VISTA Staffing
A ClearlyRated Best of Staffing Client and Talent 10-Year Diamond Award winner, VISTA has 30 years of experience optimizing continuity of care for hospitals, medical practices and government agencies across the US. A leading provider of short-term US locum tenens and permanent physician search services, VISTA partners healthcare providers with facilities who need them most, providing an effective strategy for lessening the impact of the global provider shortage. Our VISTA team goes above and beyond to make healthcare providers feel valued in the job search process and are committed to elevating careers to new heights. For more information, visit https://www.vistastaff.com.
Visa sponsorship record
No public sponsorship records foundWe didn't find H-1B, H-1B1, E-3 or green card (PERM) filings under the name VISTA Staffing Solutions in the Department of Labor and USCIS data. That doesn't mean the job can't be sponsored — the company may file under a different legal name, be new to sponsorship, or sponsor a visa that isn't in these datasets (for example H-2B or J-1).
Tip: ask the recruiter early, in writing, which visa they sponsor and whether they cover the legal and filing fees.
Which visas can work for this job
Occupation: Nurse Practitioners (SOC 29-1171).
- Mentioned in the listing
H-1B
- H-1B cap-exempt employer
Regular cap-subject employer — a new H-1B needs to win the lottery in March (unless you already hold cap-counted H-1B status).
- TN (citizens of Canada and Mexico)
This kind of role may fit the USMCA profession “Registered Nurse” — it depends on the actual duties. No lottery, no cap; you need the matching degree or license.
- E-3 (Australia) and H-1B1 (Chile, Singapore)
Same degree requirement as H-1B, but no lottery and a separate quota that is rarely filled.
- O-1 (extraordinary ability)
For candidates with awards, publications, press, a high salary or critical roles at distinguished organizations. No cap, no lottery; the employer files a petition.
Salary vs prevailing wage
Below Level INurse Practitioners · Spokane-Spokane Valley, WA. Annual prevailing wages set by the Department of Labor (OFLC).
| Level | Prevailing wage | H-1B lottery odds* |
|---|---|---|
| Level I | $115,856 | ~15% |
| Level II | $130,437 | ~31% |
| Level III | $145,018 | ~46% |
| Level IV | $159,598 | ~61% |
This job pays $111,000–$141,000 a year — below the Level I prevailing wage. For H-1B the employer must pay at least the prevailing wage, so the offer would have to go up.
* Odds are DHS projections for the FY2027 wage-weighted lottery (actual results vary by year and employer). Since the FY2027 cap season the H-1B lottery is weighted by wage level: Level I = 1 entry, II = 2, III = 3, IV = 4. The level is set by the offered wage against the prevailing wage for the occupation and worksite. Separately, a $100,000 fee for new H-1B petitions for workers outside the US was announced in 2025; as of September 2026 a federal court ruling keeps it unenforceable while appeals continue — check the current status.
Sources: U.S. Department of Labor OFLC disclosure data (H-1B/H-1B1/E-3 LCA, PERM), OFLC prevailing wage data, USCIS H-1B Employer Data Hub, E-Verify participating employers. Data loaded: LCA FY2024–FY2026, PERM, USCIS Data Hub, OFLC wages; updated 2026-10-03. Employers are matched by name, so records of companies with similar names can occasionally be mixed up. This is general information, not legal advice — talk to an immigration attorney about your case.