5 Best Physician Mortgage Loans in Nevada


Physician mortgage loans in Nevada are useful to medical doctors seeking 100% financing options that don’t require private mortgage insurance.

Key Terms

  • Higher loan limits with potential 100% financing in some cases give borrowers more home buying options.
  • Student loan payments typically receive favorable treatment with a doctor loan, making it easier to qualify for a mortgage.
  • Physician mortgages don’t require private mortgage insurance (PMI) even with a 0% down payment.

Nevada is known for many things, including the always fun Las Vegas. As a part of the Western Region of the United States, the so-called “Silver State” or “Sagebrush State,” is also home to several natural wonders, such as Red Rocks and the Great Basin National Park.The 36th state to join the United States, Nevada is also home to over 6,400 practicing physicians

For many, even doctors and professionals, owning a home in Nevada may seem like a dream. Data from the Las Vegas Realtor shows the average sales price for single-family homes is $771,063. Whereas the average price of a condo or townhome in the area is $330,392.   

As a doctor or dentist thinking about making the move to buy property here, a Nevada physician mortgage loan program may offer help. The program allows qualified professionals in the state to obtain a home loan without a significant down payment and sometimes none at all.

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Pros/Cons of physician mortgages in Nevada

When deciding to go with a financial product such as a mortgage, it’s always a good idea to look at pros and cons. Nevada physician home loans come with a lot of pros, including:

  • Little to no down payment required
  • No PMI payment(s) required
  • Special treatment of student debt repayments

Depending on the lender, some borrowers may even receive approval for one of these mortgages before they have even started a new job, provided they have a signed contract. 

And the cons of Nevada mortgages for doctors? There are some, including the fact that your lender may want you to open a savings or checking account with them. You also need to be careful with the high limits these loans can come with; that “benefit” could potentially get you underwater with your loan. 

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5 Top Nevada doctor mortgage lenders

Some lenders only offer physician mortgage loans to attending physicians, while other programs can lend to those still in residency or fellowship.

1. BMO Harris Bank

BMO Harris Bank is an established player in the mortgage industry that ranks 16th largest by total assets in the country. The bank offers a full range of financial products, including a physician loan to certain medical professions.

We spoke to a BMO Harris loan officer to get additional details about the doctor mortgage, many of which aren’t published. Here are some key terms and highlights:

  • Program is divided between Physicians and Dentists that are less than 10 years since their last training was completed (residency, fellowship, or medical/dental school, whichever ended last) and those over 10 years.
  • Less than 10 years practicing:
  • 0% down up to $1,000,000
  • 5% down up to $1,500,000
  • 10% down up to $2,000,000
  • More than 10 years:
  • 10% down up to $2,000,000
  • 10, 15, 20, & 30 year fixed rate or 5, 7, and 10 year ARM loans.
  • No rate premium, pricing premium, or interest rate increase for using the program.
  • No income history is required. They can use an offer letter or match letter that states your employer name, start date, salary, and job title. They can close the loan up to 89 days prior to the start date for the new contract. The contract can be for a W2 or 1099 pay structure as long as a guaranteed base salary/pay amount is listed.
  • Reserve requirements for loans up to $400,000 equal two months PITI for the new home, for loans over $400,000 the requirements is four months PITI.
  • The borrower is required to have liquid reserve funds at the time of closing, this would be required on top of any cash to close due.
  • Seller credits are allowed to assist with closing costs but cannot exceed the total of closing costs and cannot exceed the amount you, as the buyer, are contributing to the purchase.
  • Gift funds from a family member are allowed for any cash due at closing or down payment as well as the reserve requirements.

If you have a credit score as low as 680, BMO Harris can offer you $0 down up to $1,000,000 but it will take a credit score of 720 to get access to the full program.

When you’re ready to connect with a loan officer experienced in doctor mortgages, use our form to quickly match with eligible loan programs based on your specific circumstances.

2. Wintrust Mortgage

Wintrust Mortgage is based in Denver, Colorado and is part of the Wintrust Financial Corporation. The company offers mortgage services throughout the United States and an in addition to standard mortgage products has a competitive doctor mortgage program.

We contacted a loan officer at Wintrust Mortgage to learn more about their physician loan program and the detailed requirements for eligibility. Here are the key points:

  • Established Professional:
  • 5% down up to $650,000 (PMI required)
  • 10% down up to $1,000,000
  • 15% down up to $2,000,000
  • 20% down up to $2,500,000
  • 25% down up to $3,000,000
  • New Professional:
  • 5% down up to $650,000 (PMI required)
  • 10% down up to $600,000
  • 15% down up to $1,000,000
  • Eligible degrees: MD, DDS, DMD, DO, DPM and Veterinarians
  • Minimum credit score is 700
  • 5/1, 7/1, 10/1 Adjustable Rate Mortgages (ARM)
  • Deferred medical student debt may not affect your qualifying loan amount
  • Purchase and rate/term refinance for primary residence
  • Non-Occupant Co-Borrowers Allowed

When you’re ready to connect with a loan officer experienced in doctor mortgages, use our form to quickly match with eligible loan programs based on your specific circumstances.

3. Alerus Mortgage

Alerus Financial Corporation is a publicly traded chain of financial institutions headquartered in North Dakota. They offer banking, mortgage, wealth management and retirement services, including a physician loan for those doctors looking to buy a house.

We contacted a loan officer at Alerus to learn more about their physician loan program and here are the key terms that you need to know:

  • Must be within your first two years of practice to qualify.
  • 0% down up to $750,000
  • 5% down up to $1,000,000
  • ARM and fixed rate financing available

Alerus also has a special $20,000 closing guarantee with all mortgages. The $20,000 guarantee is paid to the seller if the loan does not close based on the conditions and expiration date of the approval as outlined in the Alerus pre-approval letter.

In other words, this $20,000 guarantee gives you extra negotiation leverage when competing with all-cash home purchase price offers. If your mortgage doesn’t close, the seller is compensated $20,000 for their trouble.

Of course there’s some fine print on the guaranty so keep in mind that it’s not available for new construction and isn’t applicable if:

  • Borrower, seller or any third party cause the delay or elect not to close on the real estate sale.
  • Borrower fails to sign required disclosures or provide key documents by the requested due date.

The $20,000 guarantee, if applicable, is available to the seller only and not any of seller’s agents, representatives or related parties.

When you’re ready to connect with a loan officer, use our form to quickly match with eligible loan programs based on your specific circumstances.

4. Citizens Bank

Citizens Bank is one of the largest banks in the United States. I bet you didn’t know that it’s headquartered in the smallest state: Rhode Island. With over $160 billion in assets, it’s no surprise that Citizens offers a full range of financial products, including a physician loan.

We contacted a loan officer at Citizens Bank to learn more about their doctor mortgage loan program specifically. Here are details you won’t find anywhere else:

  • 5% down up to $850,000
  • 10% down up to $1,000,000
  • Practicing licensed medical doctors (MD and DO), dentists (DDS and DMD), medical residents and research physicians are eligible
  • Licensed residents, fellows and interns can borrow a maximum of $600,00 (or $400,000 if unlicensed)
  • No more than 10 years out of residency
  • Self-employed professionals are eligible with a two-year history of self-employment income
  • New medical professional graduates who are under contract for residency within 60 days of closing and have not yet obtained a license are eligible
  • No private mortgage insurance, resulting in lower mortgage payments
  • 40% max debt-to-income ratio
  • Student loan debt that’s deferred for more than 12 months from the date of closing can be excluded from DTI calculations
  • Construction-to-permanent loans available with a maximum of 89% financing
  • Fixed rate or adjustable-rate mortgage options
  • Interest-only option on certain adjustable-rate mortgage options (max financing at 89%)

When you’re ready to connect with a loan officer experienced in doctor mortgages, use our form to quickly match with eligible loan programs based on your specific circumstances.

5. Keybank

Keybank has over $170 billion in assets and is the 24th largest bank in the Untied States. They operate throughout 39 states but can originate mortgages in nearly all 50, making them a popular choice among medical doctors throughout the country. One of their key financial products is a physician loan.

While Keybank doesn’t post a lot of information about their doctor mortgage online, we were able to get in touch with a loan officer at the bank to get all the important details. See below for an overview of the program details:

  • 0% down up to $1,000,000
  • 5% down up to $1,500,000
  • 15% down up to $2,000,000
  • No private mortgage insurance
  • Gifts permitted for down payments
  • Can close on the strength of an employment contract up to 90 days prior to the start of employment
  • Minimum credit score is 700
  • Student loan debt can be calculated based on income driven student loan payments
  • Fixed loans offered in 10, 15, 20, 25 or 30-year terms
  • Adjustable-rate mortgages offered in 5/6, 7/6 and 10/6 options
  • No minimum or maximum years in practice for eligibility
  • Reserve requirements are: 2 months (loans under $500K), 4 months (loans between $500K – $750L), 6 months for loans over $750K plus an additional 2 months if closing prior to start date. Retirement accounts count toward reserve requirements.
  • US Citizens, Permanent Residents and H1B Visa holders are eligible
  • California loans require a minimum of 5% down

When you’re ready to connect with a loan officer experienced in doctor mortgages, use our form to quickly match with eligible loan programs based on your specific circumstances.

Is a Nevada physician mortgage loan right for you?

If you are a doctor, dentist, or other healthcare professional in Nevada considering a physician mortgage, ask yourself a few questions about where you are in life. Is your job one that you see yourself doing for years moving forward? Are you comfortable with where you are in Nevada, and do you want to stay there permanently? If that is the case, committing to a mortgage is a great option for your financial future. 

It can also benefit you to assess how you feel about paying an interest rate that may be higher than ones associated with conventional loans. While you get the doctor-specific benefits associated with a physician mortgage, they can come at the cost of a higher rate. Finally, you can only use a doctor mortgage to purchase a primary home. 

Examples of doctors who take out physician loans in Nevada

Many doctors across Nevada are taking out physician loans to purchase their primary home. Their stories may resonate with you, so we’ve included a few below. 

Doctor who needs favorable treatment of student debt

Ned, a first-time homebuyer, never thought the words “DTI ratio” would mean so much to him. He didn’t even know what a DTI was about until he decided to try and purchase a house after becoming an attending at Henderson Hospital. He was shocked to hear from lenders after submitting his contact information that, despite his excellent income, he was still a risk given the size of his student debt. 

Fortunately, he heard about a lender in town offering doctor mortgages. This lender would give his student loan repayments special consideration and not hold them against his viability as an applicant. He ended up getting a doctor mortgage and purchasing his first home. 

A dentist who has no down payment

Rebecca worked hard to get her dental practice just outside Paradise off to a good start. Her next step now is homeownership. The problem is she was left with very little cash in the bank after putting so much into her studies and practice. A conventional loan was beyond reach, especially given the prices in Nevada and she didn’t want to pay mortgage insurance with an FHA loan.

She would need over 100k to put down on a home. Instead, she has decided to get a Nevada physician mortgage loan from a local lender. They have offered her great terms with 100 percent financing, helping to make her dream of a home possible. 

If you’re looking to explore physician mortgage loans in other states, check out our national overview of physician loans as a starting point in your search.

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Joshua Holt

Joshua Holt is a licensed mortgage loan originator (NMLS #2306824) and founder of Biglaw Investor. His mortgage expertise lies in the areas of professional mortgage loans, particularly for lawyers, doctors and other high-income professionals. Prior to Biglaw Investor, Josh practiced private equity mergers & acquisition law for one of the largest law firms in the country.

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