
A Wyoming-Based, Independent Provider Staffing and Management Group
About Aligned Providers Wyoming
We strive to be the trusted name in independent emergency medicine, hospital medicine, and urgent care medicine in Wyoming and the surrounding region.
Founded in 2016, Aligned Providers Wyoming (APW) is a Wyoming-based, independent contract management group. We are a provider-owned and led regional group that is highly invested in the community. Our tight-knit team and is committed to continually advancing clinical leadership, care quality, and the business side of medicine. Today, APW offers permanent and short-term staffing solutions for emergency medicine, hospital medicine, urgent care, and hybrid EM and HM programs in Wyoming and surrounding states.
What Drives Us
Our Mission
We strive to build fulfilled clinical teams that deliver patient-focused care and consistently innovate to improve and thrive. We do so by prioritizing a culture of service and aligning the priorities of hospital and provider teams to provide exceptional patient care.
Our Vision
To advance the practice of medicine by improving the wellbeing of our patient population, providers, hospitals, and the communities we serve.
Our Values
- Integrity
- Family and Community
- Selflessness
- Compassion
- Gratitude
Why AP Wyoming?
We leverage our proven quality and efficiency improvement processes and our deep knowledge of Wyoming and surrounding markets to deliver outstanding physician and APP services to hospitals in the region. Our experienced leaders, expert recruiters, and seamless back-office services drive improvements in patient experience, quality and efficiency, and provider satisfaction.
We Know Wyoming
We are a trusted name in independent contract management services for emergency, hospital, and urgent care medicine in Wyoming and surrounding states. We manage more than 13 permanent and interim staffing solution programs across the region and have a deep knowledge of and dedication to the area.
We Bill In-Network
It is important to us to align the needs of patients, providers, insurance companies, hospitals when it comes to billing. That is why we prioritize negotiating favorable managed care contracts and are in-network with all major payors in Wyoming.
We Are Engaged
As a regional, truly independent, clinician-owned group, we are deeply engaged and invested in the success of our program at your hospital. Our experienced leaders will work in the trenches with your team to establish a high-functioning, empowered clinical team that drives operational and clinical excellence in your hospital programs.

“My visit to the ER was great. The doctor was awesome. He took the time to figure out what was causing my allergic reaction and made sure I was comfortable.”
Patient Review
Aligned Providers
Wyoming Leaders
Clinical Leadership

Joann Bourlier-Childress, PA-C
Board Chair
& Director Business Development
About Joann
Joann has more than 20 years of experience practicing as an PA. She is originally from Western Nebraska and became interested in medicine after serving as an EMT in Kimball, Nebraska. She attended PA school at UNMC in Omaha, Nebraska because she was interested in following a patient’s care from the beginning to discharge rather than leaving the patient in the ED. Joann enjoys being part of Aligned Providers Wyoming, which has helped her learn to serve others with more compassion and introduced her to a new calling: serving third world communities through mission work. Her true loves continue to be her two amazing children, Kelvin and Lexi. Kelvin has two daughters, Noa and Andi. They live in Beijing, China.

James Waters
MD, FACEP
Board
Vice Chair
About Dr. Waters
Dr. Waters is a board certified emergency physician. He completed his residency in emergency medicine at Albany Medical Center in Albany, NY in 2014. He also holds a bachelor’s degree in philosophy and a master’s degree in computer science. He has done research in and holds a patent on the design of automated external defibrillators.

Lawrence Bean
MD, MBA, FACEP
Chief Executive Officer
About Dr. Bean
For more than 20 years, Dr. Lawrence Bean’s career has spanned the gamut in emergency medicine, where he’s served as a practicing ED physician, healthcare executive, entrepreneur, and leadership consultant. In addition to developing one of the country’s first fire-department-based community health paramedicine programs, he has also led emergency departments and managed urgent care centers. He has a master’s degree in business administration from the University of Texas at Dallas, attended medical school at UT Southwestern, and completed emergency medicine residency at Parkland Memorial Hospital in Dallas, Texas. Currently, he is physician executive at CareCulture, an independent emergency, hospital medicine, and urgent care management services organization dedicated to aligning emergency department teams with hospital goals. He is also co-founder of Great Commission Outreach, a nonprofit organization dedicated to serving indigent communities both domestically and abroad.
![Patel_Mitesh_HS[10] Janie Jaberg, RN, FACHE](https://www.alignedproviders.com/wyoming/wp-content/uploads/sites/2/2024/10/Patel_Mitesh_HS10.jpg)
Mitesh Patel
MD, MBA, CPE
Emergency Medicine President
About Dr. Patel
Mitesh Patel, MD, MBA, CPEis a career physician leader. Over the past two decades, Dr. Patel has served in a variety of healthcare leadership roles, including serving as the executive vice president of clinical operations of one of the largest independent multispecialty physician staffing companies in the nation. Prior to that, Dr. Patel was chief operating officer of VEP Healthcare. As COO, his oversight spanned business development, operations, management services, communications, information technology, and legal services.

Adam Crilly, DO
Regional Medical Director, Emergency Medicine
About Dr. Crilly
Adam is a board-certified emergency physician with experience in physician leadership. He serves as regional medical director for Aligned Providers Wyoming sites and site medical director of Cheyenne Regional Medical Center. His Doctor of Osteopathic Medicine degree was awarded with honors from Nova Southeastern University. He completed his residency in emergency medicine at Jacobi Medical Center in the Bronx, NY in 2001. In addition to his 20 years of clinical practice experience and 10 years as medical director prior to joining Aligned Providers, he has been a county EMS director, president of a physician-lead multi-hospital ED group, and chief of staff.

Thomas A. Chweh, MD
Regional Medical Director, Hospital Medicine
About Dr. Chweh
Dr. Chweh brings with him experience and a mindset that will help our partner hospitals and providers blossom to their full potential. He has nearly 20 years of combined Internal Medicine and Pediatric experience. Since completing medical school at Rush Medical College in 2003, Dr. Chweh has served in a variety of clinical settings, including completing his Med-Peds residency at the University of Illinois Medical Center at Chicago, and serving as chief medical resident in his final year. He served at Gottlieb Memorial Hospital in Melrose Park, Illinois where he was co-founder and managing partner of Encompass Physicians Med-Peds Hospitalist group for the past 15 years. Dr. Chweh is Board Certified in Internal Medicine and Pediatrics and has clinically practiced at Trinity Health in Minot, North Dakota. With his background in rural medicine and leadership qualities, he will help build upon the solid foundation that Aligned Providers Wyoming has already established.

Russell Lauver, DO
Regional Medical Director, Rural Medicine
About Dr. Lauver
Russell Lauver attended medical school at Western University of Health Sciences and completed his residency at the University of Nevada School of Medicine.

Nate Moore, DO
Emergency Medicine Medical Director, Ivinson Memorial Hospital
About Dr. Moore
Dr. Moore grew up in Denver, Colorado and complete his undergraduate education close to home. He trained in South Carolina for medical school and went to residency in Roanoke Virgina at Carilion Clinic/ Viriginia Tech. After leaving residency, he joined Sumit Medical group (now called Aligned providers Wyoming). His interest in the group stemmed from wanting to be close to home, in addition to wanting to work for a small democratic group. He believes in the values of Aligned Providers Wyoming and has been happy to see its organic growth. His clinical interests includes wilderness medicine and critical care, as well as working in an administrative capacity. Outside of work, Dr. Moore enjoys skiing, climbing, hiking, and spending time with friends and family.

Ezdan Fluckiger, MD
Emergency Medicine Medical Director, Community Hospital of Torrington
About Dr. Fluckiger
Ezdan Fluckiger, better known as The Bread Doctor, plays several vital roles in the Torrington community. Dr. Fluckiger and his wife, Lisa, moved to Torrington in 1999 after he completed medical school at the University of Utah and a residency in rural medicine in Wray, Colorado. After 25+ years working in clinics, emergency departments, and hospital settings throughout the Torrington area, Dr. Fluckiger and his family started serving the community in a new way; they opened a bakery! Dr. Fluckiger is a major advocate for combatting the burnout physicians often feel by pursuing personal interests and passions.

Kyle Smith, MD
Emergency Medicine Medical Director, Campbell County Health
About Dr. Smith
Coming soon!

Haley Hays, NP
Lead APP, Kimball Health Services
About Haley
Haley Hays is a nurse practitioner who grew up in Torrington, Wyoming. She attended the University of Nebraska Medical Center for her Bachelor in Nursing in 2012. After this she completed her Doctor of Nursing and Family Nurse Practitioner through University of Wyoming and attended the University of Texas Health in Houston for her post-graduate board certification in Emergency Medicine and Trauma.
Her experience as a nurse practitioner includes internal medicine, urgent care, emergency, hospitalist and some long-term care rounding.
In addition to practicing as a nurse practitioner, Haley has taught graduate nursing at Creighton University and undergraduate nursing at Western Nebraska Community College. She is also currently an active member of many state and national organizations, working on advocating for nurse practitioners at both the state and national level with legislative and state practice acts.

Natalie McClanahan, FNP-C
Lead APP, Ivinson Memorial Hospital
About Natalie
Natalie McClanahan gained her BSN from Mississippi College and attended
Physicians – Emergency Medicine

Jessica Hughes
MD, FACEP

Steve Pecevich, MD

Amy Tortorich, DO

Regina Oakes, MD

Daniel Holsinger, MD

Jared Gamet, MD

Jordan Greer, DO

Regan Jernigan, MD

Gerry Wilde, MD

Jordan Hammond, MD

Alison Guest, MD

Anna Schubert, MD

Joshua Henry, MD

Sofiya Diurba, MD

Brittany Snow, MD

Paul Chidsey, DO

Tanner Tuggle, DO

Glen Clinton, MD

Matthew A. Loptien, MD

Kurtsy Oswald, DO

Ryan Venor, MD

Austin Cannoy, DO

Sarah Frances McClure, DO

Aaron Bassett, DO

Gabe Siegel, MD
Physicians – Hospital Medicine

Judith Boyle, MD

Robert Neuwirth, MD

Felix Furman, MD

Edward Bergin, MD

Trevor Bush, MD
Physicians – Rural Medicine

Chris Rider, MD

Jessica Dalio, MD

Michael Snarr, MD
APPs – Emergency Medicine

Adam Sproat, PA-C
![New APW Team Photos_Kenzie Nichols[48] Janie Jaberg, RN, FACHE](https://www.alignedproviders.com/wyoming/wp-content/uploads/sites/2/2024/03/New-APW-Team-Photos_Kenzie-Nichols48.png)
Kenzie Nichols, PA

Alexandra Kivari, PA

Jennifer Heldebrandt, FNP

Lindsey Johansen, FNP

Stephanie Soto, DNP, FN

Susan McLaughlin, NP

Adrienne Bangert, NP

Adam Chaplin, PA

Nicolette Strand, APRN

Jenna Oppenheimer, PA

Kaylee Stephenson, PA

Zachery Bjore, PA-C

Breiana Pedersen, PA

Sara Devine, PA
Intern

Karen Wenner, NP
Intern

Ryan Russi-Myers, FNP
Intern

Alexa Longoria, NP
Intern

Sarah Dahrens, APRN
Intern
APPs – Rural Medicine

Christophere Neil Shores, APRN

Derek Feige, PA-C
![New APW Team Photos_Diana Anders[81] Janie Jaberg, RN, FACHE](https://www.alignedproviders.com/wyoming/wp-content/uploads/sites/2/2024/03/New-APW-Team-Photos_Diana-Anders81.png)
Diana “Dede” Anders, PA

Tyler Brady, PA-C

Taylor Schroeder, NP

Holly Dobrinski, FNP

Jeffrey Johnston, PA

David Vandekieft, PA
APPs – Urgent Care

Joshua Garza, PA-C

Teresa Thompson, APRN
Looking for provider career opportunities?
We are always accepting applications for emergency department physician and advanced practice provider candidates who are interested in joining Aligned Providers of Wyoming. Apply to get in touch with our recruiter.