Adult/Gerontology Primary Care Specialty


The Adult/Gerontology Primary Care Nurse Practitioner (AGNP) is a Registered Nurse educated at the Master's level as a nurse practitioner. The focus for the AGNP is to provide primary care to individuals across the adult age spectrum from late adolescence through older adulthood. In addition, AGNPs are prepared to provide comprehensive end of life care to adults. Because the health care needs of adults range from wellness to complex illness care, the settings in which the AGNP delivers care may include community health centers and clinics, private medical practices, specialty clinics, health maintenance organizations, Veteran's Administration facilities, Geriatric Evaluation and Management (GEM) units, adult day health centers, assisted living facilities, skilled nursing facilities and other long-term care settings, acute and chronic rehabilitation centers, urgent care and emergency departments. In many cases, AGNPs follow their patients across care settings to maintain quality and safety during care transitions.

Education: Master of Science in Nursing


  • Eligible for the American Nurses' Credentialing Center's Adult and Gerontological Nurse Practitioner certification exams
  • Eligible for the American Academy of Nurse Practitioner's Gerontological Nurse Practitioner certification exam
  • Eligible for prescriptive authority in all 50 states with restrictions as specified by each state

Types of Clinical Care provided by the Primary Care Adult/Gerontology Nurse Practitioner:

  • Health promotion and disease prevention activities including screening exams, counseling, providing adult immunizations and ordering/evaluating results of appropriate diagnostic tests.
  • Comprehensive physical, psychosocial, developmental, sensory, functional and cognitive assessments
  • Episodic management of acute conditions, including minor acute injuries and illnesses
  • Evaluation and management of chronic conditions common among adults such as HTN, diabetes, stable chronic cardiovascular and neurologic diseases, asthma/COPD, arthritis, osteoporosis, depression
  • Evaluation, prevention, and management of geriatric syndromes such as delirium, urinary incontinence, and falls
  • Advance Care Planning and comprehensive end of life care

Advanced Practice Nurses also perform these general functions:

  • Obtain health histories and perform comprehensive physical examinations, including psychosocial, functional, and developmental assessment
  • Order and interpret lab results and other diagnostic studies
  • Develop differential diagnoses
  • Develop/order therapeutic plan of care including prescription medications
  • Maintain patient records
  • Evaluate patient's response to plan of care and modify as needed
  • Provide patient/family counseling and education
  • Arrange for patient referrals/consultations
  • Participate in research studies
  • Collaborate with interdisciplinary health team members

Sample Full Time Curriculum Course Sequences