Nurse Student Loan Refinance - 60-Second Decision

RNs, NPs, CRNAs: refi vs PSLF, picked fast. Not tuned to physicians or general consumers.

Overall pick for nurses at stable employers: Laurel Road (has a nurse-specific product with med-pro rate tiers).

Check my Laurel Road rate (soft pull) ->
Compare multiple lenders (Splash) ->
Affiliate disclosure: links earn a referral commission on funded loans. Primary pick reflects nurse-specific features, not payout size.
Do NOT refinance if: Refinancing federal loans into private = permanently losing federal protections.

The 60-second decision tree

  1. 501(c)(3) hospital + on track for PSLF? Don't refi. Stay on PSLF and certify annually.
  2. Non-profit employer, not pursuing PSLF? Run the refi math vs 10-year PSLF projection.
  3. For-profit hospital / private practice? Refi usually wins if your credit is prime.
  4. Travel nurse with variable income? Earnest (flexible payments) or stay federal until income stabilizes.

The four that actually compete for nurse borrowers

Laurel Road - Overall pick. Nurse-specific product, med-pro rate tiers, strong RN/NP/CRNA support.
Splash Financial - Marketplace pick. Multiple lenders with one soft pull. Best for borderline credit or shopping.
SoFi - Mainstream pick. Broadest perks (unemployment protection, career coaching), competitive rates.
Earnest - Flexibility pick. Custom payment amounts, skip-a-payment feature. Good for travel nurses and PRN.

Side-by-side

FeatureLaurel RoadSoFiSplashEarnest
Nurse-specific productYes (RN / NP / CRNA)NoNoNo
Rate typeFixed + variableFixed + variableFixed + variableFixed + variable
Soft-pull rate checkYesYesYesYes
Min credit~680~680~660~650
FlexibilityStandardUnemployment protectionMulti-lender shoppingCustom payments, skip-a-payment
Best forStable-employer RN/NP/CRNAGeneral + perksBorderline creditVariable income

PSLF - the single biggest thing to check first

Public Service Loan Forgiveness forgives remaining federal student-loan balance after 120 qualifying payments while working full-time for a 501(c)(3) nonprofit hospital or government.

What disqualifies PSLF:

If any of these apply, you're leaving no money on the table by refinancing.

Trust

SoFi rate check -> Earnest rate check ->

FAQ

Can I refi federal loans into private?
Yes, but you permanently lose IDR plans and federal forgiveness options. Not reversible.

What about Nurse Corps Loan Repayment Program?
HRSA's Nurse Corps pays up to 85% of unpaid debt for service at critical-shortage facilities. Apply there before refinancing if eligible.

Can I refi only private loans?
Yes - most lenders allow this, which keeps federal protections on your federal balance. Often the right move.

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