The use of terms such as mid-level provider and physician extender in reference to nurse practitioners (NPs) individually, or to an aggregate inclusive of NPs, is inaccurate and misleading. The American Association of Nurse Practitioners® (AANP) calls for the retirement of these inaccurate terms and endorses referring to NPs by their title.
NPs are licensed, independent practitioners. The NP scope of practice is nationally defined and distinct from that of other health disciplines. NP scope is not dependent on, or an extension of, the care rendered by a physician or other health care provider. Using these inaccurate descriptors to refer to NPs confuses the public about the role and accountability NPs have for the services they provide.