Licensed Practical Nurse (LPN) in Lewisville, TX

The Salary Picture: Where Lewisville Stands

As a local, I can tell you that nursing salaries in Lewisville are solid, but they're not the highest in the Dallas-Fort Worth metro. You're looking at a median salary of $55,160/year, which breaks down to about $26.52/hour. That's slightly above the national average of $54,620/year, but as anyone living here knows, the cost of living in the DFW area has been climbing fast.

To give you a realistic picture, let's break it down by experience level. The table below uses the median as a baseline and adjusts for local market trends.

Experience Level	Estimated Annual Salary	Notes
Entry-Level (0-2 years)	$48,000 - $52,000	Starting out, you'll likely begin in home health or a skilled nursing facility. Hospital roles are competitive.
Mid-Level (3-7 years)	$55,000 - $60,000	With solid experience, you can negotiate for higher pay, especially in specialty areas like geriatrics or dialysis.
Senior/Expert (8+ years)	$62,000 - $70,000+	Expert LPNs with leadership or specialized clinic experience can command the top end of this range.

When you compare Lewisville to other Texas cities, it's a middle-of-the-pack player for LPNs. Austin and Houston pay more, but their cost of living is also higher. San Antonio and El Paso pay less, but their housing is more affordable. Lewisville offers a balance for those who want DFW access without the premium price tag of Dallas or Plano.

Insider Tip: The 10-year job growth for LPNs in this metro is 5%. That's steady, not explosive. The real opportunity is in the 267 LPN jobs currently open in the metro. Many of these are in the expanding senior living communities along the I-35E corridor.

The Real Take-Home: After Taxes and Rent

Let's get practical. Earning the median salary of $55,160/year means a monthly gross of about $4,597. After federal, state, and FICA taxes, your take-home pay is roughly $3,500 - $3,650/month (this varies based on your W-4 withholdings and benefits).

Now, let's budget for a single LPN living in Lewisville. The average 1BR rent is $1,291/month. Here’s a realistic monthly breakdown:

Expense Category	Estimated Monthly Cost	Details
Take-Home Pay	~$3,550	After taxes, health insurance, and 401(k) contributions.
Rent (1BR Avg)	$1,291	This is the city average. Older complexes in Old Town are cheaper; new builds in Castle Hills are pricier.
Utilities	$150 - $200	Electricity (TXU/Reliant), water, trash. Internet is separate (~$60).
Groceries	$350 - $450	H-E-B and Aldi are your best friends. Avoid Whole Foods for basics.
Transportation	$200 - $350	Gas, insurance, car maintenance. Public transit (DART) is limited in Lewisville.
Health & Misc.	$300	Co-pays, OTC meds, personal items.
Savings/Debt	$500 - $700	Student loans, car payment, or emergency fund.

Total Monthly Expenses: ~$2,841
Remaining Buffer: ~$709

Can you afford to buy a home? It's a stretch on a single LPN salary. The median home price in Lewisville is around $380,000. With a 20% down payment ($76,000), a monthly mortgage (including taxes and insurance) would be $2,000 - $2,300. This would consume over half your take-home pay, leaving little room for savings or emergencies. Most LPNs I know in Lewisville buy homes with a partner's income or after years of saving aggressively. Renting is the more feasible short-term option.

Where the Jobs Are: Lewisville's Major Employers

The job market for LPNs here is stable but competitive. You won't find a massive hospital in Lewisville itself, but you're surrounded by major medical hubs. Here are the key players:

1. Medical City Lewisville: This is the main hospital in the city. They have an attached surgery center and often post LPN roles for their outpatient clinics and post-surgical units. Hiring trends favor LPNs with recent acute care experience.
2. Baylor Scott & White Medical Center – Trophy Club: Just 10-15 minutes west on 114, this is a major employer. They frequently hire LPNs for their outpatient infusion centers and specialty clinics. They offer great benefits.
3. Genesis Healthcare (Lewisville Health & Rehabilitation Center): This is a large skilled nursing facility (SNF) right off I-35E. They are almost always hiring LPNs for day and night shifts. It's a fast-paced environment, perfect for building experience.
4. Sunrise Senior Living (Lewisville): Located in the Castle Hills area, this upscale assisted living community hires LPNs for medication administration and care coordination. The pace is generally slower than an SNF, and the clientele is private-pay.
5. Texas Health Presbyterian Hospital Flower Mound: A 10-minute drive south. While it's technically in Flower Mound, it's a major employer for the entire Lewisville area. Their LPN roles are often in their specialty clinics (e.g., cardiology, orthopedics).
6. Visiting Nurse Association (VNA) of Texas: This is a major home health agency covering Denton County. They hire LPNs for home visits, especially for wound care and medication management. You need a reliable car for this role.
7. Lewisville ISD (School District): The district employs LPNs as campus nurses. These are highly coveted, 10-month positions with summers off. Competition is fierce, and you'll need pediatric experience.

Insider Tip: The best way to find jobs is to check the individual career pages of these employers. Many local jobs never make it to the big job boards. Also, network with nurses at the local coffee shops near Medical City Lewisville—you'll hear about openings before they're posted.

Getting Licensed in TX

If you're licensed in another state, you'll need to get a Texas license. The Texas Board of Nursing (BON) is the authority here.

For Out-of-State Applicants:

• Endorsement: If you have an active, unencumbered LPN license from another state, you can apply by endorsement. You don't need to retake the NCLEX-PN if you passed it previously.
• Requirements: You'll need to verify your original license, provide transcripts from your nursing school, and undergo a fingerprint-based background check.
• Cost: The total cost for the application and background check is approximately $200 - $250.
• Timeline: The process can take 6-8 weeks from the time you submit a complete application. Start this process before you move.

For New Graduates:

• You must graduate from an approved nursing program and pass the NCLEX-PN.
• The cost to take the NCLEX-PN is $200 (plus any review course fees).

Insider Tip: Texas is a compact nursing state (NLC). If you hold a multi-state license from a compact state (like Oklahoma, New Mexico, or Kansas), you can practice in Texas without getting a separate Texas license. This is a huge advantage for nurses moving from those states.

Best Neighborhoods for Licensed Practical Nurse (LPNs)

Where you live will define your daily commute and lifestyle. Here’s a breakdown of practical options:

Neighborhood/Area	Vibe & Commute	1BR Rent Estimate
Castle Hills	Upscale, master-planned community with pools and trails. Close to Medical City Lewisville and major clinics. 10-15 min commute to most employers.	$1,450 - $1,650
Old Town Lewisville	Historic, walkable, with a growing food and brewery scene. Closer to I-35E for quicker access to Flower Mound hospitals. 5-10 min commute.	$1,200 - $1,400
Lewisville Lake Area (West)	Quieter, more suburban, with larger apartments and townhomes. A bit farther from the hospital hub, but more space for your money. 15-20 min commute.	$1,250 - $1,450
South Lewisville (Near FM 3040)	Affordable, with a mix of older apartments and new builds. Great access to DFW Airport and the South DFW job market. 10-15 min to most places.	$1,100 - $1,300

Insider Tip: Avoid the apartments immediately off I-35E (the "Strip") if you want quiet. The traffic noise is constant. Look in the neighborhoods north of Main Street for a better balance of price and peace.

The Long Game: Career Growth

LPN career growth in Lewisville is more about specialization and moving into non-bedside roles than climbing a dramatic ladder. Here’s the path:

Specialty Premiums: Certain specialties can boost your pay by $2-$5/hour.

• IV Therapy/Certification: Valuable in home health and clinics.
• Gerontology: Essential for the booming senior care market.
• Dialysis: The Fresenius clinic in nearby Carrollton pays well for LPNs with this skill.
• Wound Care Certified (WCC): A strong asset for home health and SNF roles.

Advancement Paths:

1. Clinical Ladder: Some employers (like Medical City) have a clinical ladder for LPNs. You can advance from LPN I to LPN II or III by gaining certifications and taking on preceptor roles.
2. Move to a Clinic: Transitioning from an SNF to an outpatient clinic often offers better hours (M-F, 8-5) and a more predictable schedule.
3. Charge Nurse: In SNFs, experienced LPNs can become charge nurses, overseeing a shift and a team of CNAs.
4. Management: Rare for an LPN, but possible in home health or senior living as an Assistant Director of Nursing (ADON), especially with a BSN.

10-Year Outlook: The 5% job growth is steady. The biggest driver is the aging population. You'll see continued demand in home health, geriatric clinics, and hospice. The role of the LPN is becoming more technology-integrated, with more focus on electronic health records (EHR) and telehealth support.

The Verdict: Is Lewisville Right for You?

Lewisville is a strategic choice for an LPN who values a good job market, reasonable cost of living, and access to the amenities of the DFW metro without the chaos of downtown Dallas.

Pros	Cons
Stable job market with major employers nearby.	Housing costs are rising and outpacing salary growth.
Slightly above-average salary compared to national LPN pay.	Traffic on I-35E is notoriously bad during rush hour.
Central location to DFW airport, Dallas, and Fort Worth.	Limited public transit (DART) – a car is a must.
Varied neighborhoods from historic to modern suburban.	Competition for the best jobs (especially clinics) is high.
No state income tax in Texas.	Texas heat is intense from May to September.

Final Recommendation: Lewisville is a strong choice for an experienced LPN looking to leverage their skills in a market with a growing senior population. It’s less ideal for a brand-new graduate unless they are willing to start in a skilled nursing facility and work their way into more desirable settings. If you value a blend of suburban life and career opportunity, Lewisville is worth serious consideration.

FAQs

1. Do I need my own car to work as an LPN in Lewisville?
Absolutely. Public transportation (DART) doesn't reliably serve all healthcare facilities. Most employers are spread out, and home health roles require driving. A reliable car is non-negotiable.

2. How competitive are the LPN jobs at the school district (Lewisville ISD)?
Extremely competitive. These are "dream jobs" with great hours and breaks. You typically need 2-3 years of pediatric or school nursing experience. Start building that experience in a local clinic or urgent care.

3. Is the cost of living really manageable on a median LPN salary?
It's manageable but tight, especially if you have student loans or a car payment. The key is realistic budgeting and possibly having a roommate to lower housing costs. You will not be living lavishly, but you can live comfortably.

4. What's the best way to get my Texas license quickly?
If you're moving from a compact state, you're all set. If not, start the endorsement process immediately. The Texas BON website has a checklist. Ensure your fingerprints are taken at a Texas-approved vendor (like IdentoGO) once you arrive.

5. Are there opportunities for overtime in Lewisville?
Yes, especially in skilled nursing facilities and home health agencies. Overtime is often available for weekend and night shifts. This can be a significant boost to your annual income if you're willing to work extra hours.