“Particular interest has been shown in the concept of nurse practitioners providing front line care in general practice and in emergency departments,” (Horrocks, Anderson, & Salisbury, 2002, p. 819).  Nurse practitioners are key factors for health promotion and disease prevention.  The expansion of this role has been based on several factors, such as increased accessibility to adequate health care in rural areas, overall rising health care costs, and the increasing skills, education, and willingness of nurses to expand their responsibilities.  Satisfied patients can be advocates for the advanced registered nurse practitioner role as an integral, contributing component of the health care team.  Positive satisfaction surveys are evidence to support the growing need and importance of ARNPs. Analysis of the patient satisfaction surveys found a high level of patient satisfaction with the care received from advanced registered nurse practitioners during their one patient-provider visit.  The most significant finding regarding nursing in this research study was the high level of patient satisfaction with the care given by advanced registered nurse practitioners in the emergency department setting.  The service and academic communities can use these results to improve provider-patient encounters and support educational programs for advanced practice in nursing.  Advanced registered nurse practitioners can use this data to support and market their advanced clinical role. This study provides necessary evidence to support advanced registered nurse practitioners as successful primary care providers.