“…Several studies also found that APRN-led clinics exhibited increased patient satisfaction by reducing the cost of care, unnecessary advanced imaging studies, preventable patient visits, and work absenteeism 240 . Other studies showed an important role of NPs in nurse-managed health centers (NMHCs), which comprise of more than 250 in the country and provide more than 2.5 million patient encounters yearly and offer care to those in communities who have usually underutilized primary and preventative care services 241 . Morgan, Everett, and Hing examined the number of visits by provider type, when comparing PAs, 234 Poghosyan et al, 2013. NPs, and physicians, and found that there were no differences in the number of visits by provider type and time spent per patient in community health centers (CHCs) is similar to each other 242 .…”