Back ground: US health care delivery needs a major makeover to be successful, sustainable, and inexpensive. Early & regular primary care use improves the well-being of patients, minimizes health inequities, & optimizes costs of health care. Objectives: assess how nurses promote access of health care & quality. Patients and methods: That study was prospective study. The study was included 100 participants. Results: Regarding our results, there were 24% Nurse Educator, 16 % were Clinical nurse specialist, 12% were Academic faculty, 7% were Staff nurse and 4% were Academic administration, 72 % of Participant were serving in an EBP mentor role. According to Type of primary work setting, we found that 27 % work in Community hospital, 39 % in Academic medical center and 28 % in Academic institution, 2 % in Primary care practice and 1 % in Community health setting, 47 % of Participant Worked in a Magnet designated institution. According to Round 1 APN Competencies, the mean Consensus was 4.9 ± 0.3, 1.54% required rewording and re-voting while 98.46% not require. According to Round 2 Registered Nurse (RN) Competencies, the mean Consensus was 4.5±0.5 and 98% with Consensus Met. Conclusion: Health care reform is a key national debate, focusing on reshaping individual care, particularly vulnerable ones. Primary healthcare delivery models effectively provide patient-centered care.