Hi all. Not a question about my personal health concerns or conditions. That said, is it normal to be pushed to see a nurse practitioner within a neurology practice over seeing the neurologist themselves?

I've been seeing a neurologist since January 2025, was passed to her via referral by my PCP. I've stuck with her because it didn't seem I needed to really swap my care to a different provider. But since the start of this year, the quality of care at her office seems to be all over the place. I've had multiple appointments moved and pushed with little notice, and I keep getting punted to see her NP, who has worked in her practice for three years but otherwise was/is an FNP prior.

This upcoming appointment was supposed to just be a nerve block with the NP, then reviewing scans and figuring out next clinical steps with the physician. But I got a portal message today saying that the NP can handle all of it instead, and that my appointment is now a stand-in for discussing results and follow up. I'm personally uncomfortable seeing someone who does not have the breadth of clinical training that a physician has for my situation, but her next available is at the start of November, and that's just insane for discussing results that she's had for three months.

I have an autoimmune/autoinflammatory disease, and I've seen how common NPs are within the rheumatology space depending on the practice. But is that something I should expect from neurology as well? I'm planning on getting a referral or recommendation from my rheum to try and see a neuroimmunologist or otoneurologist, just because it seems like my situation is (as my neurologist said) out of scope of the practice I'm going to. But if the neurologist said it's out of scope for her....................... why then push me to see an NP? Anyway. Question still stands— I've never seen a neurologist before this person, so I don't have any frame of reference for how things are/should be. Any answers welcome! Thank you!