Project 3, part one 8% of course grade…..due 11/5/2022…..please

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Interview a Nurse Practitioner

Simranjit Kaur

Harriet Rothkopf Heilbrunn School of Nursing, Long Island University

Advanced Practice Role: NUR 630-004

Dr.Amy Ma

Nov 6, 2022

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PART1: Interview

What are your credentials?

I am a certified Family Nurse Practitioner. I have a Master of Science in Nursing from an

accredited university and am licensed to practice in California. I am also certified by the

American Nurses Credentialing Center. I became a Family Nurse Practitioner to provide primary

care to patients of all ages. I love the continuity of care that this type of practice allows. I can

form long-term relationships with my patients and their families, various them over time. This

practice also allows me to care for patients with multiple health problems. I chose to pursue a

Master of Science in Nursing to provide my patients with the highest care possible. I believe the

additional education and training I received have prepared me to provide the best possible care to

my patients. I am currently not planning on pursuing a doctoral degree, but I may consider it in

the future. I am delighted with my current level of education and believe that it has prepared me

well to provide excellent care to my patients.

What are your job description, practice setting, and responsibilities?

My job description includes seeing patients for acute and chronic problems, ordering and

interpreting diagnostic tests, and prescribing medications. I also educate my patients on a wide

variety of health topics. I see patients of all ages and can provide care for a wide variety of health

problems.

I am currently working in a primary care setting. I see patients of all ages with a wide variety of

health problems. I enjoy the variety that this type of practice provides. I also enjoy forming long-

term relationships with my patients and their families.

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What are your years in practice and range of patients?

I have been in practice for three years. I have enjoyed my time in practice so far. I love getting to

know my patients and their families and being a part of their lives. I also enjoy the variety that

primary care provides.

I typically see 15-20 patients per day. It allows me to spend a reasonable amount of time with

each patient and get to know them well.

Have you played any leadership role in the practice?

I am not currently in a leadership role in my practice, but I am interested in pursuing leadership

roles in the future. My experience as a nurse practitioner has prepared me well to take on a

leadership role in medical practice.

What is your billing/responsibilities as an NP?

I am responsible for billing for the services that I provide to my patients. I bill for office visits,

diagnostic tests, and procedures. I also bill for medication management and other services I

provide to my patients.

Do you have your Medicare billing number and accept direct reimbursement?

I have my own Medicare billing number and accept direct reimbursement from Medicare. I also

accept reimbursement from other insurance companies. I can provide care to patients covered by

Medicare and other insurance plans.

Are you listed as a Primary Care Provider (PCP) in any Manage Care Organization’s or

insurance agencies?

I am not listed as a Primary Care Provider in any Manage Care Organizations or insurance

agencies. I can provide care to patients whom Medicare and other insurance plans cover.

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How do you accomplish Chart Review with a collaborator?

I accomplish chart review with my collaborator by reviewing the charts of my patients prior to

their appointment. I also review my patients’ charts after their appointment to ensure that all of

the necessary documentation has been completed.

How do you maintain continuing education responsibilities?

I maintain my continuing education responsibilities by taking courses online and attending

conferences and workshops. I also participate in research projects and clinical trials.

What specific protocols do you use in the practice setting?

The specific protocols we use in our practice setting vary depending on the needs of our patients.

We tailor our care to meet the individual needs of each patient.

Do you have a collaborative practice agreement?

I do not have a collaborative practice agreement.

What do you like most/least about your position?

I like forming long-term relationships with my patients and their families. I also like the variety

that primary care provides. I am not too fond of the paperwork associated with primary care.

Do you belong to any professional organizations? Which ones and why?

I am a member of the American Nurses Association and the American Academy of Nurse

Practitioners. I belong to these organizations because they provide excellent resources and

support for nurse practitioners.

PART 2: How does the assignment help understand primary care NP’s role?

The interview assignment above helped me understand the primary care NP’s role by providing

information about the NP’s credentials, job description, and responsibilities. I also learned about

the NP’s years of experience and leadership roles in their practice. I also learned about the NP’s

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billing and reimbursement responsibilities (Norful et al., 2018). Finally, I learned about the NP’s

general thoughts on being an NP. I also understood that primary care NPs play a vital role in the

healthcare system. They provide high-quality patient care and can form long-term relationships

with their patients and their families (Torrens et al., 2020). They are also responsible for billing

and reimbursement for their services. Overall, It was very informative interview which helped

me understand NP role and responsibilities during their practice , and gave me deep insight into

what to expect as I will start my journey in primary care.

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It was very informative for me to interview this NP. He was very honest and to the point during

the interview. This interview helped me understand NP role and responsibilities during their

practice, and gave me deep insight into what to expect as I will start my journey in primary

care .

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References

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse Practitioner–Physician

Comanagement: A Theoretical Model to Alleviate Primary Care Strain. The Annals of

Family Medicine, 16(3), 250–256. https://doi.org/10.1370/afm.2230

Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M., Bottone, H.,

Polson, R., & Maxwell, M. (2020). Barriers and facilitators to the implementation of the

advanced nurse practitioner role in primary care settings: A scoping review. International

Journal of Nursing Studies, 104(104), 103443.

https://doi.org/10.1016/j.ijnurstu.2019.103443

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Nurse Practitioner Interview

Nurse Practitioner’s Credentials

           The nurse practitioner (NP) I interviewed, M.R. W.R., has specialized in family nursing 

practice. He achieved this after completing a master of science in nursing (M.S.N.) qualification. 

He was certified by the American Nurses Credentialing Center (ANCC). The N.P.’s credential is 

M.S.N., FNP-BC, indicating his highest academic qualification and area of specialization. The 

N.P.N.P. is pursuing a Doctor of Nursing Practice (D.N.P.) degree, which he aspires to complete 

in a year. He believes the D.N.P. would increase his competencies and marketability in nursing 

practice.

Practice Setting, Job Description, and Responsibilities

           Family Nurse Practitioners (F.N.P.s) work in various healthcare settings, including private 

practice, community health settings, physicians’ offices, and acute and rehabilitative care 

settings. F.N.P.s offer several family-oriented healthcare services, including seniors, adolescents, 

infants, adults, and children. Their responsibilities include creating treatment plans, ordering and 

performing diagnostic tests, prescribing medications, conducting physical assessments, and 

treating illnesses. Also, F.N.P.s maintain patient records and carry out health promotion, disease 

prevention, and rehabilitative programs for patients, families, and communities.

Years in Practice, Number of Patients, and Leadership Roles

           M.R. W.R. has a cumulative 15-year experience in nursing practice. Of these, he spent ten 

years as a registered nurse (RN) and five years as an F.N.P. He sees an average of 20 to 25 

patients daily. The average age of patients is 40 years. The facility sees patients between 0 to 80 

years daily with acute to chronic illnesses. Besides, M.R. W.R. oversees infection prevention and 

control initiatives at the facility. He is tasked with ensuring that other healthcare providers 

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adhere to the standard infection prevention and control protocols to minimize hospital-acquired 

infections, catheter-associated urinary tract infections, and surgical site infections.

Coding responsibilities, direct reimbursement, own Medicare billing number

According to M.R. W.R., every N.P. must understand their state’s billing and coding 

requirements for accurate and complete documentation. The optimal understanding of these 

requirements is critical for the proper documentation supporting hospital claims. N.P.s must 

document the patient’s history, assessment, or medical decision-making to bill for an established 

patient visit. In addition, NP W.R. has a Medicare billing number and can directly seek 

reimbursement from Medicare for the services offered to patients.

Listing as a primary care provider (P.C.P.) in any managed care organizations or

insurance agencies

           The N.P. is listed as a P.C.P. by a private insurance provider.

Accomplishing chart reviews

           The N.P. has a well-laid-out model with his collaborating physician guiding the chart 

review. In these chart reviews, the N.P. meets with the collaborating physician and reviews a 

random sample of the N.P.’s charts and prescribed medications.

Continuing education responsibilities

           According to him, continuing education is a critical tool for improving his nursing 

competency and maintaining his advanced practice in the nursing license. He usually earns his 

continuing education credits by participating in various pieces of training created by the 

American Nurses Association (ANA).

Specific protocols in the practice setting

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           M.R. W.R. informed me that their organization’s policy is to conduct a cultural 

assessment of their patients to help individualize nursing care and enhance cultural sensitivity to 

improve patient satisfaction.

Collaborative practice agreement

M.R. W.R. has a written collaborative practice agreement with a physician stipulating how they 

may handle patient referrals, patient reviews, chart reviews, and disagreements during planning 

care to enhance their functioning.

Other information

           The N.P. likes the job satisfaction of being an N.P. due to the increased autonomy that 

enables him to function at his full potential. He belongs to various professional organizations like 

the American Association for Nurse Practitioners, which spearheads advocacy programs to 

improve the N.P. practice.

Impacts of this assignment

           This assignment improved my understanding of the N.P. practice. It enlightened me on 

the various aspects of N.P. functioning, including reimbursements, collaboration, and 

satisfaction. Further, I realized that adherence to standard protocols is significant for ideal NP 

practice.