@sojhobahun appointment was for doctor but NP showed up that what put me suprised and betrayal @Meronepal, let me educate you something Im talking about PCP , primary care physician here not specialist doctors , PCP are are not specialist so you dont need nobody referral to meet PCP for routine check up. not everywhere you are checked by NP unless you have Medicare or whatever you guys hold free insurance from the government . i am having solid insurance plan from my employer so i can chose the doctor i want within my network . if you are surprised that your employer pays 25000/yr for the family of 3 or 4 then you definitely dont work and depend upon Medicare or medicade or Obamacare or whatever you guys like to call it