I used to go to a place that was our "family practice" for decades. The doctor is well known and fairly good but a few times the NP was the only one available and honestly 100% better than the doctor was. She would walk into the room and practically look at you and say "So, you have this. Its going to suck." sometimes it was something you could have meds for, sometimes it was "go home, drink a lot of water and sleep as much as you can". She was great, if I still lived there and she still worked there I would request her every time if possible. It all really depends on where you are and how skilled the people in the area are. I feel like a lot of the "good" people in health care are also fleeing cities unless the pay is to good. They are also under extremely strict NCA's (restrictions often say you cannot work within X miles of where you are currently quitting) most of the time so if they quit they basically have to move to another city to get a job, that should be illegal.