EB-2 NIWHealthcare, clinicalEmployerDecided November 2025Dismissed
Outcome: Dismissed
NOV182025_01B5203
Merit and national importanceNot metWell positionedNot reached / not discussedBalance favors a waiverNot reached / not discussed
Our summary
A family nurse practitioner seeks EB-2 advanced degree classification and NIW. Service center approved underlying EB-2 eligibility but denied NIW. AAO affirmed, finding petitioner's proposed primary care practice using telemedicine lacked national importance; evidence showed only individual patient benefit, not broader healthcare industry impact.
Official PDF
Official PDF ↗Published by USCIS. The summary is ours, in our own words; the decision text is on uscis.gov.
No criterion in the table was found met in this decision.
What was missing
- Merit and national importance · Proposed primary care practice limited to patient-level impact; no evidence of broader healthcare field or telemedicine industry impact
Criteria
| Criterion | Reading | Why |
|---|---|---|
 Merit and national importance | Not met | Proposed primary care practice limited to patient-level impact; no evidence of broader healthcare field or telemedicine industry impact |
 Well positioned | Not reached / not discussed | First prong failed; remaining Dhanasar prongs reserved |
 Balance favors a waiver | Not reached / not discussed | First prong failed; remaining Dhanasar prongs reserved |
A published decision describes one case. It is not legal advice and not a prediction for yours.