Getting started: Locum tenens basics for advanced practice providers Q&A

Rachel Myers, author of this post Rachel Myers • Follow
Calendar icon October 6, 2025 • 10 min • Share icon
Healthcare professional using laptop with checklist and calendar for locum tenens scheduling.

Summary

  • Learn what locum tenens is and who qualifies for this type of work.
  • Find out how to start your locums career, including licensing, credentialing and tips for choosing your first assignment.
  • Explore flexible work options, like part-time or weekend assignments, to supplement income or explore new clinical settings.

Advance practice provider (APP) careers in locum tenens continue to build momentum, thanks to the flexibility, competitive pay and diverse experiences this type of work offers. Whether you’re a recent graduate, a mid-career APP looking for a change or someone approaching retirement who still wants to practice on your terms, becoming a locum can offer the perfect balance between professional fulfillment and personal freedom. 

But what does it take to get started, and how do you know if it’s the right fit for you? In this Q&A guide, we answer the most common questions about the locum tenens lifestyle — from who’s eligible to how to land your first assignment.

Q: What is locum tenens, and who can work as a locum tenens provider?

Locum tenens, a Latin phrase meaning to hold the place, refers to temporary healthcare assignments where physicians or APPs fill in for others who are on leave or help facilities with staffing shortages. These roles are most common in hospitals and clinics.

Healthcare roles eligible for locum work including physician assistants, nurse practitioners, CRNAs, midwives, and clinical nurse specialists.

Ready to start your locum tenens journey?

Take the next step toward a flexible, rewarding career. Connect with an Aya Locums recruiter today to explore tailored opportunities, streamline licensing and credentialing, and find your first locum assignment.

Get started with Aya Locums

Q: Do I need a certain level of experience or board certification to do locums?

Requirements vary by facility and specialty, but generally, APPs should have:

  • A valid license to practice in the state where the assignment is located
  • Board certification (or board eligibility) in their specialty
  • A clean work history without significant disciplinary actions
  • 1-2 years of post-training experience (preferred but not always required)

Q: How do I get started as a locum tenens provider?

Starting a locum career is easier than you might think! Here’s a step-by-step breakdown:

  1. Partner with a full-service locum agency. With Aya Locums, you’ll receive unparalleled services and concierge-level support to ensure you have a seamless, tailored experience for every assignment. We offer complete transparency and exceptional service to elevate your locum tenens experience.
  2. Get licensed (or ensure your license is active). If you plan to work in multiple states, consider the APRN Compact to streamline the process.
  3. Prepare your CV and documentation. This includes your state license, national certification (such as AANP, ANCC or NCCPA), DEA registration (if applicable) and any current credentialing materials. Make sure everything is up to date and ready to share with your recruiter or staffing agency.
  4. Clarify your goals. Decide on your ideal schedule, preferred locations and the types of facilities you want to work in.
  5. Start small. Many first-time locums opt for short or local assignments to get comfortable before expanding nationwide.

Q: Are locum tenens assignments available for all APP specialties?

Locum tenens opportunities are available across a wide range of specialties. Assignment availability varies based on regional needs, facility types and staffing gaps, but a strong staffing agency will work to align your skills and certifications with the right opportunities — whether you’re an NP, PA, CRNA or other type of APP.

Q: Can I work locum tenens part-time while keeping my permanent job?

Yes! Many healthcare providers take on locum assignments during PTO, between full-time roles or on weekends. However, be sure your primary employer permits it and that you’re managing any non-compete agreements or scheduling conflicts before taking on locum work part-time.

Q: How do locum tenens get benefits and pay taxes?

Unlike permanent roles, most locum tenens roles are contract-based, so providers work as independent contractors (1099 status). However, in California, some APP locum tenens are classified as W-2 employees and may qualify for additional benefits.

Ready to give locums a try?

Getting started is easier than you might think — and you’re not alone. Thousands of APPs have made the leap into locum tenens and never looked back. If you’re ready to explore the possibilities, now’s the perfect time to connect with an Aya Locums recruiter. Or visit our partners at DocCafe to see what permanent roles might be waiting for you.

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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