Becoming a locum tenens nurse practitioner

Rachel Myers, author of this post Rachel Myers • Follow
Calendar icon May 16, 2025 • 15 min • Share icon
Asian female nurse showing digital tablet to elderly man in hospital setting

Highlights

  • Locum tenens work offers nurse practitioners (NPs) the opportunity to take on temporary healthcare jobs across the country.
  • The field has seen significant recent growth, with Aya Locums reporting a 66% increase in available NP assignments.
  • Key benefits of locum tenens work include flexibility in scheduling, exposure to diverse healthcare systems, competitive pay and professional growth opportunities.
  • Locum tenens NP jobs offer the unique ability to control work-life balance while making a direct impact on communities in need.

Locum tenens, a Latin phrase meaning to hold the place of, refers to temporary healthcare assignments where professionals fill in for regular staff who are unavailable. Nurse practitioners (NPs) working locum tenens help ensure uninterrupted patient care in hospitals, clinics and other healthcare settings across the country. This approach not only addresses staffing shortages but also offers NPs unique opportunities to work in diverse environments, offering unparalleled flexibility and professional growth.

According to the U.S. Bureau of Labor Statistics, employment for NPs is projected to grow 45% from 2021 to 2031, making it one of the fastest-growing occupations in the country. This surge in demand underscores the value of locum tenens as a viable and rewarding career path for NPs.

Projected nurse practitioner employment growth up 45% from 2021 to 2031 according to U.S. Bureau of Labor Statistics.

While the general demand for NPs has continued to grow, the demand for locum NPs is also on the rise. During the past 18 months, there has been a 66% increase in the number of available NP assignments on Aya Locums, nationwide. Furthermore, we’ve noticed a 32% increase in new NP positions requested in 2024, compared to 2023.

Nurse Practitioner locum tenens demand on the rise, with a 66% increase in available NP assignments on Aya Locums, according to U.S. Bureau of Labor Statistics.

In this article, I’ll walk you through the essentials of becoming a locum tenens nurse practitioner, covering topics about:

  • Why NPs choose locum work.
  • Key considerations before taking an assignment.
  • How to start your locum career.
  • Financial and lifestyle tips.

Why nurse practitioners choose locum tenens

Many NPs gravitate toward locum tenens work for its flexibility, variety and competitive pay. I recently spoke with Darla Talbott, an NP with nearly 20 years of experience. She shared how she found value in locum work later in her career.

“Instead of retiring and putting my scrubs away for good, I decided to hit the road and take my knowledge and experience to communities across the country,” Talbott shared. “Locum tenens has allowed me to work in five states and currently, I’m on assignment in Arizona with Aya Locums.”

Key benefits of travel nursing: flexibility in work schedule, exposure to diverse patient populations, improved work-life balance, great pay, and professional growth opportunities.

“Working locum tenens has given me exposure to some of the country’s top hospital systems and introduced me to innovative ways of caring for patients,” Talbott added. “I’m so grateful for the incredible experience I’ve gained.”

Take charge of your NP career with locum tenens

Experience the ultimate in flexibility, diverse work environments, and top-tier pay while making a direct impact on communities in need. Register with Aya Locums today and discover assignments that fit your life and your goals.

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Key considerations before starting locum tenens work

Before embarking on a locum tenens career, it’s essential to evaluate whether this path aligns with your professional and personal goals. Here are some factors to consider:

  • Licensing and credentialing: Each state has specific licensing requirements. As a locum NP, you’ll need to ensure your credentials are current. You might also consider obtaining multi-state licensure through the Nurse Licensure Compact (NLC).
  • Adaptability: Being able to acclimate quickly to new environments and patient populations is crucial.
  • Travel requirements: While you get to choose where and how often you travel, many locums accept assignments that take them away from home. While this can be exciting, it’s important to plan appropriately.
  • Housing and logistics: Agencies, like Aya Locums, aid with travel and housing. Be sure you understand what is included in your contract.

Understanding the locum process

Securing a contract

A well-understood locum tenens contract is key, and Aya Locums’ dedicated recruiters are standing by to help you navigate the process for every assignment. Before signing, gain clarity on assignment length, compensation including base pay, and how travel and housing are handled. The scope of practice should clearly define your medical duties.

Licensing as a locum NP

As every state has its own board and requirements, you would traditionally need to get an individual license for every state you work in. However, more than 40 states now participate in the Nurse Licensure Compact (NLC), meaning your RN license will be valid in participating states. The Compact significantly streamlines the process, reducing the overall time required to obtain NP licensure.

To make the process even easier, Aya Locums’ in-house credentialing team provides you with everything you need to be fully credentialed and privileged with every facility you take an assignment with. We expedite your documentation and verification process by acting as your personal liaison between hospitals and third-party offices. Need a new license? No problem! Our team will work with you and the state licensing board from start to finish.

Aya Locums benefits: dedicated recruiter, streamlined credentialing team, and experience manager for healthcare professionals.

How to start a locum tenens career

Starting your locum tenens journey involves several steps:

  1. Partner with a reputable agency, like Aya Locums, to help match you with opportunities that align with your skills, preferences and goals.
  2. Update your CV to highlight your clinical experience, certifications and areas of expertise. Review our sample locum CV and download our free template to get started.
  3. Prepare for licensing and credentialing by working closely with your agency recruiter to be sure all necessary items are in order.
  4. Understand your contract by carefully reviewing details such as pay, benefits, housing and duration of assignments.
  5. Set clear goals and define what you hope to achieve through locum tenens work — whether it’s financial gain, professional growth or travel.

Financial and lifestyle considerations

The locum tenens lifestyle can offer financial rewards but also requires careful planning.

Earning Potential

Locum NPs typically earn highly competitive compensation. Additionally, many contracts include travel stipends and housing allowances. Your recruiter will go over the details for each individual assignment with you.

Managing Finances

As independent contractors, there are certain steps that many locum tenens take to be sure they’ve checked all the boxes when it comes to insurance and finances. Some additional tips include:

  • Save for periods between assignments.
  • Consider consulting a tax professional to navigate deductions for travel and housing expenses.
  • Budget for health insurance and retirement savings, if they aren’t provided.

Maintaining Balance

The ability to take breaks between contracts and pursue hobbies, spend time with family or travel is one of the great rewards of locum work.

“Being a locum, I have the ability to have dedicated downtime to refuel and recharge,” Talbott explains. “I control my work-life balance, which helps mitigate stress.”

Benefits of being a locum NP

In my conversations with NPs, I’ve heard various reasons why they chose to work locum tenens. However, there are some key benefits that are common:

  • Professional fulfillment: Make a direct impact on communities in need, while growing your skillset and expanding your knowledge.
  • Networking opportunities: Collaborate with healthcare professionals nationwide, in diverse settings.
  • Personal growth: Gain confidence by navigating new challenges and experiencing unique surroundings.

Becoming a locum tenens NP can be a fulfilling career choice. By understanding the requirements and benefits, and being prepared for this exciting lifestyle, you can embark on a journey that offers both professional growth and personal satisfaction. 

“Locum tenens is an amazing option for NPs looking for flexible and diverse professional experiences,” said Talbott. “I’ve traveled the country, met new people and made new friends —all while doing what I love — caring for people.” 

Ready to make your next career move? Visit Aya Locums to explore locum tenens opportunities and start your journey today. If you’re considering a permanent role, you can also browse options through our partner, DocCafe. Begin your search now and take control of your future!

Becoming a locum tenens nurse practitioner FAQs

What are the requirements to become a locum NP?

You need a valid NP license, board certification and state-specific licensure. We can also assist in obtaining a multi-state license or licenses in multiple states, if desired.

How long are locum tenens assignments?

Assignments can range from a few weeks to several months or even years, depending on the facility’s needs. Some positions might also offer options for extensions.

Do locum NPs receive benefits?

Many agencies offer travel stipends, housing and malpractice insurance, but health insurance and retirement plans may require self-management.

Do I need prior experience to work locum tenens?

Most facilities prefer NPs with at least one year of clinical experience. Highlight your skills and adaptability in your CV and interviews to increase your chances of being noticed by employers.

Is locum tenens work stressful?

While the job can be demanding, the flexibility and control over your schedule often allows locum NPs to find a balance between their professional and personal lives.

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Rachel Myers, author of this post
Rachel Myers

Rachel Myers is a Team Manager of Recruitment at Aya Locums. With several years of experience in the locum tenens industry, Rachel has worked with a variety of physician and advanced practitioner specialties. Driven by her passion for making effective matches and enhancing patient care, she primarily focuses on matching locums with leading healthcare facilities across the U.S.

Learn more about Rachel Myers