I would think it is fair enough to charge you if you see the nurse as they don't have a separate nurses fee as far as I am aware. So the doctor has to pay the nurses out of their pay ITMS. Although I do think the dr should at least just see you even if only for a minute if only to cover their bums legally. When I have just seen the nurse at the practice I go to, the dr pops out between patients to make sure everything's hunky dory.