Monroe Residents

Sara Kaczmarek, DO

Sara Kaczmarek earned her medical degree from the University of Pikeville-Kentucky College of Osteopathic Medicine. When she was a patient, she experienced the effectiveness of osteopathic medicine, and that spark grew into passionate ambition.  Seeing the level of all-inclusive care her doctor offered and the techniques she practiced made Sara realize she wanted to devote her life to providing the same kindness, empathy, attention and comprehensive care to patients. Sara discovered her desire to be a beacon of hope for patients afraid of the doctor, determination to advocate on patient’s behalf, love for OMT and importance of providing continuity of care. Sara is a Wisconsin native and cheers for all Wisconsin sports teams. She loves squirrels and enjoys outdoor activities, traveling and puzzles.

John Manuel, DO

John Manuel earned his medical degree from Chicago College of Osteopathic Medicine of Midwestern University. John grew up in the Philippines and his neighborhood was filled with socioeconomic diversity. Many friends and families could not afford to see a doctor and forego much needed medicines and vaccines. This inspired John to become a primary care physician that can help families that need medical care. He also enjoyed seeing how osteopathic manipulation can help patients with their pain. John wants to be able to care for patients and families throughout their entire lives. John enjoys spending time with his family, partner, dogs, playing video games, and traveling.

Shane Nebeck, DO

Shane grew up in La Crosse, Wisconsin. He moved to the twin cities and got his undergraduate degree in biochemistry from the University of Minnesota. After graduation, Shane worked in a research lab studying deep brain stimulation for the treatment of Parkinson’s Disease and other movement disorders. Shane went to medical school at Des Moines University in Iowa. He hopes to practice rural family medicine after completing his residency. Shane enjoys helping patients of all ages.

Shane enjoys outdoor activities like fishing, camping, gardening and mushroom hunting. He is a homebrewer and grows his own wine grapes. Shane also enjoys playing video games with friends.

Richard Nye, DO

Dick Nye earned his medical degree from Liberty University College of Osteopathic Medicine Lycnhburg, VA. Dick and his wife both grew up within an hour of Monroe and are excited to raise their three children back home. Before entering civilian medicine, Dick earned his BS at Pepperdine University before enlisting in the Army, where he became a Special Forces medic, serving multiple combat and non-combat deployments in the Middle East. His experience in the field gave him experience working with soldiers and civilians alike, and led to a love of primary care, where he found purpose caring for families. In his words, “primary care is ‘primary’ for a reason: it is the first, and most crucial, point of access for medical care.” Dick enjoys seeing patients with a spectrum of ages and problems, treating whole families, and practicing holistic medicine. Dick is also interested in rural and underserved medicine. Dick’s wife grew up on a dairy farm in Cambridge, WI, which led to a love of hobby farming. Outside of that, three children under ten years old provides the opportunity to also have Pokémon, Bluey, and dinosaurs as hobbies. The Nye family is thrilled to be a part of Monroe!

Carmen Urso, MD

Carmen Urso earned her medical degree at Universidad de Carabobo, Valencia-Venezuela, and then completed her residency in obstetrics and gynecology at Maternidad Concepcion Palacios, Caracas-Venezuela. Carmen practiced medicine in Venezuela for five years experiencing work with many patients of different ages, backgrounds, and socioeconomic status. Carmen moved to the USA to find better opportunities and grow professionally. She discovered her passion for family medicine while working as a medical assistant at a clinic in Chicago, IL. Building long-term relationships with her patients and maintaining the trusted doctor-patient bond by offering comprehensive care to patients who depend on her is the key to her success. When she is not trying to save the world, she loves spending time with her husband and son, watching movies (especially Disney movies), trying new foods from around the world, and going to the beach.

John Dube, DO

John Dube earned his medical degree from Des Moines University College of Osteopathic Medicine. John’s lifelong goal in becoming a physician has always been to help people. During his family medicine rotations, he was able to see the powerful impact a physician can have on their communities and more importantly their patients individually. These formulative interactions and the relationships formed through them molded John’s medical philosophy of allowing patients to realize their own potential and live their lives to the fullest. The diverse nature of primary care, with its unexpected problem solving and need to find solutions to unique problems specific to individual patient needs is something that John enjoys about clinic work. Through his various leadership experiences in undergraduate and medical school on numerous boards and committees, John has realized the importance of teamwork and how it plays an integral part to good patient-centered care. The dedication and perseverance to this care for the betterment of his patients is what drives John to constantly improve himself each day. When not working or in the hospital, John likes to spend time with his wife, nieces and nephews, outdoor activities, and board games on his off time.

Annika Evenhouse, DO

Annika Evenhouse earned her medical degree from Midwestern College. Annika worked as a medical scribe in an emergency department prior to medical school and saw what it was like to treat acutely ill patients, but not have the chance to follow up with them beyond the ED. She enjoyed the variety of patients and pathology encountered but missed that connection with the patients and their families over time. Annika wants to devote to patient and family interactions. Family medicine gave her the flexibility to practice a wide variety of medicine. Not only does she have the right skill set, but also feels drawn to family medicine to help fill the ever-increasing need for doctors in rural areas. Annika likes to spend time with her husband, gardening, home improvement, and outdoor activities in her free time.

Christian Springer, DO

Christian Springer earned his medical degree from Kirksville College of Osteopathic Medicine. Christian’s desire was to work with people from different backgrounds and understand the intricacies of the mind was actualized in international studies and psychology. The exposure Christian received from my uncle resonated with him the most, and he saw how much of a positive impact he had on his patients and our community. Christian realized he wanted to have as much of a positive impact on his future patients and community and felt he belongs in rural family medicine. Christian likes to read, camp, and travel in his down time.

Jason Christenson, DO

Jason Christenson earned his medical degree from Rocky Vista University college of Osteopathic Medicine. Jason went into the Family Medicine Residency Program at Naval Hospital Camp Pendleton in 2012 and was still unsure of what specialty he wanted to pursue. Jason completed the internship year, became state licensed and elected to go into operational medicine instead of continuing the residency. Since 2013 he had provided primary care medicine to our active-duty Marines and Sailors for the past seven years. During this time, he lost count of the times he had been told “thank you doc, no one has ever really listened to me or looked into this before.” The ability to be the advocate for the patient, to provide them appropriate care, and to impact their life as a physician has become the resonating philosophy that has solidified itself in Jason after the years he spent taking care of the active-duty troops. Jason saw no better specialty than family medicine to adhere to that philosophy and developed an intimate appreciation for family medicine and its role in healthcare. Jason likes to spend time with his wife and kids, watching and playing sports, and traveling when time allows.

Zachary Coffman, DO

Zachary Coffman earned his medical degree from Burrell College of Osteopathic Medicine at New Mexico State University. Zachary chose family medicine due to his sister’s illness and it was thanks to a concerned and dedicated family medicine physician that his sister was able to get the appropriate care she required. This experience affirmed not only his impetus to attend medical school, but also his desire to become a family medicine physician and help people in their time of greatest need. The practice of family medicine is dependent upon quickly forming strong patient-physician relationships. Creating such connections is where his passion lies and thrives. Zachary often reflects on the advice given by Theodore Roosevelt that “people don’t care how much you know until they know how much you care.” During his medical studies, he had the fortunate opportunity to rotate through a diverse variety of health care settings across the country. Zachary’s experiences encompassed a large range of patient demographics–from the Spanish-speaking immigrant in southeastern New Mexico to the mechanical engineer in Michigan’s lower peninsula. In every instance he strove to listen first. Zachary found that as he sought to understand his patients, he created an environment where symptoms and concerns were shared, diagnoses made, and therapeutic goals founded. The key to engendering trust is ensuring that each patient feels understood. Quickly establishing patient-physician relationships through listening allows for healing and transforms people’s lives. Community is of utmost importance to Zachary and he believes that among his greatest strengths is the ability to take interest in and connect to people around him. Zachary loves playing four-over-par-on-every-hole golf, exploring new trails. and good food and new recipes.

Landon Shea, DO

Landon Shea earned his medical degree from Kansas City University of Medicine and Biosciences College of Osteopathic Medicine. The medical field piqued Landon’s interest because of the difficulty and ever-changing complexity behind perfecting a thorough medical plan. After a few years of hard work, he found himself as project leader for Scribe America at Iowa Methodist Medical Center, managing the emergency department, internal medicine, and surgery scribes. During this experience Landon realized what it truly meant to be a member of the medical team. In a place where seconds can make the greatest difference, clear and concise communication is essential to ensure the best patient care. Landon’s drive is not solely in medicine, but the daily challenges it brings: the ability to provide compassion and care to every patient. He aspires to provide patients with a steady and competent presence in some of their darkest times and to be ready to face the challenge behind medical decision-making and explaining this process to the patient and family. While medicine is a large part of Landon’s life, he also enjoys spending time with his wife, two pomsky dogs, hiking, running, biking, and spending time with family.