100% Financing. No PMI. Nevada's Physician Loan Specialist.
If you're a medical doctor, dentist, pharmacist, veterinarian, podiatrist, or CRNA practicing in Nevada, or if you're a resident or fellow with a signed attending contract starting at a Nevada medical system, you can buy a home in Nevada with zero down payment up to $1.5M, or 5% down up to $2M, with no mortgage insurance.
This is the Nevada-specialist site for the Redwood Sequoia Medical Professionals Program. Built for the Vegas + Reno + Tahoe medical community by an experienced southwest physician loan specialist.
How does a physician loan work in Nevada?
A Nevada physician loan is a lender portfolio program that lets eligible doctors and dentists buy a primary home with zero-to-low down payment, often 0% up to roughly $1.5M and 5% up to $2M, with no monthly PMI, and student-loan debt counted at your income-based (IBR or PAYE) payment instead of the full balance. Residents and new attendings carrying student debt can qualify on a signed attending contract, not current resident pay. Exact tiers vary by lender.
Why a Nevada physician loan specialist
National physician loan competitors (SoFi, KeyBank, Wintrust, BMO Harris) all have national programs but national doctor-loan programs vary by state, so verify Truist Doctor Loan's current Nevada availability directly with Truist. If you've been seeing Truist recommended in national White Coat Investor lists and discovering it doesn't serve NV, this site is the alternative.
Local advantage matters because the Vegas + Reno medical systems have specific contract structures, hiring patterns, and neighborhood dynamics that national lenders' templated content doesn't address. Sunrise Health (HCA), Valley Health, Renown Health (Reno), Saint Mary's (Reno), Carson Tahoe Health, each system has its own physician compensation framework.
Who qualifies
Open to active-practice medical professionals holding any of these degrees:
- Medical Doctor (MD)
- Doctor of Osteopathy (DO)
- Doctor of Dental Science / Surgery (DDS)
- Doctor of Dental Medicine (DMD)
- Doctor of Ophthalmology (MD or DO)
- Doctor of Psychiatry (MD or DO)
- Doctor of Pharmacy (PharmD)
- Doctor of Veterinary Medicine (DVM or VMD)
- Doctor of Podiatric Medicine (DPM)
- Certified Registered Nurse Anesthetist (CRNA with DNAP or DNP)
- Medical residents, fellows, or interns with any of the above degrees
US Citizen or Permanent Resident Alien with valid SSN required. Chiropractors are not currently eligible under the Redwood Sequoia program.
Nevada medical systems served
Las Vegas
- Sunrise Health Network (HCA): Sunrise Hospital + MountainView + Spring Valley + Centennial Hills + Southern Hills
- Valley Health System: Centennial Hills, Desert Springs, Spring Valley, Summerlin, Valley Hospital
- Henderson Hospital (HCA)
- University Medical Center (UMC): Vegas's level-1 trauma + academic medical center
- Kindred Hospital + LifePoint Health facilities
- UNLV Kerkorian School of Medicine: newer MD residencies + fellowships
Reno + Northern Nevada
- Renown Health: Reno's largest health system
- Saint Mary's Regional Medical Center: Reno
- Northern Nevada Sierra Medical Center
- UNR School of Medicine: Reno residencies
Carson City + Tahoe
- Carson Tahoe Health: Carson City + Lake Tahoe area
- Barton Health (CA-side Tahoe, for context)
Specialty schools
- Touro University Nevada (Henderson): DO + Pharmacy + Health Sciences
- Roseman University (Henderson): DMD + Pharmacy
Where Vegas + Reno physicians actually buy
Las Vegas market
- Summerlin: premium master-planned, multiple price tiers, popular with Vegas attendings
- Henderson (Anthem, Seven Hills, MacDonald Highlands): upscale family-focused
- Lake Las Vegas: gated waterfront luxury
- The Ridges (within Summerlin), high-end custom homes
- Centennial Hills + Aliante: North Las Vegas, more affordable
Reno market
- South Reno (Damonte Ranch, Galena): physician + tech executive concentration
- Caughlin Ranch: established, family-focused
- Northwest Reno (Somersett, ArrowCreek): newer luxury master-planned
- Sparks (Spanish Springs, Wingfield Springs): more affordable family neighborhoods
- Reno foothills + Verdi: custom homes, larger lots
Tahoe NV-side
- Incline Village: second-home + primary-residence luxury
- Glenbrook + Crystal Bay: ultra-high-end lakefront
What's different from a conventional or FHA mortgage
The Redwood Sequoia Medical Professionals Program delivers:
- 100% financing up to $1.5M (680+ FICO) or $2M (720+ FICO)
- No mortgage insurance at any LTV
- 5% down option up to $2M
- DTI up to 50% (vs conventional 43%)
- Higher loan limits than conforming ($832,750 in NV)
- Resident, fellow, and intern qualifying using signed attending contract
- Student loan IBR/PAYE actual payment counts vs conventional's 1% of balance
More on this site: eligible professions · residents & fellows · resident pre-closing playbook
Frequently asked questions
Can a UMC or Renown resident really buy a Vegas home with no down payment?
Yes, if you have qualifying credit (typically 720+ for top tier), 24+ months of credit history, and a signed attending employment contract starting within 60-90 days. The contract is the qualifying income, not your current resident salary.
What if I'm at UNLV School of Medicine (just graduated)?
Once you've matched into residency with a signed residency contract, you become eligible (residents are eligible). Pre-residency med students don't yet qualify.
Do I have to be a Nevada resident to qualify?
You need to be a US Citizen or Permanent Resident with a valid SSN. The home becomes your primary residence; Nevada physical residency at time of application isn't required if you're relocating from out of state for the attending position.
I'm relocating to Nevada from another state, can I still qualify?
Yes. If you are moving to Nevada for a physician or dentist position, you qualify on your signed Nevada attending contract, not your current out-of-state pay. The Nevada home becomes your primary residence, and you do not need to already live in Nevada when you apply.
Is a physician loan the same as a Fannie Mae, FHA, or VA loan?
No. A physician loan is a specific lender portfolio program, not agency financing. Its up-to-100% financing, no-PMI, and student-debt rules are set by the lender under the Sequoia Medical Professionals Program guide, not by Fannie Mae, Freddie Mac, FHA, or VA guidelines.
Can residents and new attendings with student debt qualify for a Nevada physician loan?
Yes. Residents, fellows, and newly hired attendings carrying large student-loan balances are exactly who the physician loan is built for. You qualify on a signed Nevada attending contract rather than current resident pay, your student debt is counted at your documented IBR or PAYE payment instead of a percentage of the balance, and there is no PMI, so student debt alone does not block approval.
Talk to Mike about your Nevada physician loan
Free 30-minute call. Bring your situation, current role (resident, fellow, attending, private practice), NV employer or contract status, target city + neighborhood, timeline. Mike will walk through actual numbers + the realistic closing timeline.
(480) 296-6513 · Mike Certo, NMLS #260555 · NV Doctors / Cornerstone First Mortgage NMLS #173855
Sources
- Redwood Residential Acquisition Corporation. Sequoia Medical Professionals Program Eligibility Guide v1.1 (effective March 2, 2026)
- Cornerstone First Mortgage NMLS #173855
Mike Certo · NMLS #260555 · Cornerstone First Mortgage NMLS #173855 · Equal Housing Lender. Educational content, not a loan commitment. Program eligibility per Redwood Sequoia Medical Professionals Program Guide v1.1; subject to change. Loans subject to buyer and property qualification.