Americans in urban and rural settings have difficulty finding a physician when they need one, and it is rare for a patient to get an appointment with a physician without waiting at least a few days (Braddock et al., 2012). ‘‘Quality of primary care delivered by nurse practitioners is equal to that of physicians” (Mundinger et al., 2000 as cited in (Levin and Bateman 2012)) Nurse practitioner office based primary care will not only provide cost-effective episodic and comprehensive health care, but also improve the quality of care and life for those with chronic diseases while controlling individual and system-wide health care costs. As the country seeks positive solutions for healthcare delivery problems, organized nurse practitioner primary
