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Bluestem Health Family Practice Changes: Coronavirus Pandemic

During this unprecedented time of the Coronavirus (COVID-19) pandemic, we find it necessary to make some changes at our family medicine practices to keep our healthy patients healthy.

Bluestem Health in Lincoln, Nebraska has four family medicine practices to help you and your family stay healthy. Bluestem Health offers an integrated and comprehensive service delivery system to provide family medicine, dental, and behavioral health care services that are client-driven, culturally sensitive, and family-focused. During this unprecedented time of the Coronavirus (COVID-19) pandemic, we find it necessary to make some changes at our family medicine practices to keep our healthy patients healthy.


Some of our providers have been reassigned to work at different Bluestem Health family practice locations. Dr. Charles Kreshel, our longtime family medicine doctor, is now seeing healthy patients at Health 360, located at 2301 O Street in Lincoln, Nebraska. Sarah Grady, PA-C from the Kreshel clinic and Caitlin Neukirch, PA-C are also at Health 360.

We have assigned the Bluestem Health Kreshel family practice clinic as our location where all of the sick patients with COVID-19 symptoms are being seen by Teresa (Buffy) Lewis-Hunt, APRN-NP and Horacio Alvarez Ramirez, MD. The Kreshel clinic is located at 3100 N. 14th Street in Lincoln.

Trishia Frost, APRN-NP is now treating patients at the Bluestem Health Thompson family practice clinic located at 2222 S. 16th Street, Suite 435 in Lincoln.

John Grandgenett, APRN-NP, Tony Cox, PA-C, and Samantha Lefebvre, DNP, NP-C have moved to Bluestem Health’s Main clinic at 1021 N. 27th Street in Lincoln.

Our other Bluestem Health family medicine providers remain at their designated locations.

Please know that all of our family practice providers and family practice physicians care about the health of you and your family. Once COVID-19 comes to an end, we expect providers will return to their family practice clinic where they practiced prior to the pandemic.


The well being of our pediatric patients is a top priority. In order to keep them safe, we have implemented a Saturday Clinic. Pediatricians Dr. Erica Peterson and Dr. Humaira Qasimyar are experts in providing pediatric and family medicine and always look forward to caring for our young patients.


We know this is a challenging time for everyone as we work diligently to keep our patients healthy and safe and care for those who are ill. During COVID-19, we are able to offer many of the services that we have in the past.

Family Medicine: We offer physical exams, immunizations, preventive medicine, and chronic disease management. During COVID-19, we ask that:

  • If you have a fever and cough, please call the clinic location first and one of our team members will help you determine the next step or whether you need to schedule an appointment. Do not walk into the clinic with these symptoms.
  • We will continue to call and screen all patients via phone ONE business day prior to their appointment. Schedules will continue with reduced patient volume and providers will be rescheduling high-risk patients as they feel necessary.
  • If you are healthy and have an appointment for a well-child check or physical, please call to reschedule it for May, June, or July.

Dental Care: During COVID-19, we are only providing emergency dental care. Call (402) 476-1640 for dental emergencies. Emergencies include:

  • Injury to the mouth
  • Swelling to the face or mouth
  • Uncontrolled bleeding from the mouth
  • Mouth pain not controlled by over-the-counter pain medication

Behavioral Health: Our behavioral health consultants work in conjunction with our medical team to help with mental health, addiction, and substance abuse issues.

All of our providers are here for you, and we are committed to providing the highest level of care that we can while the U.S. is working to contain the Coronavirus.

Family Practice Providers

Horacio Alvarez Ramirez, MD, Family Medicine

Bich Chau, MD, Family Medicine

Michael Israel, MD, Family Medicine

Charles Kreshel, MD, Family Medicine

Erica Peterson, MD, Pediatrics

Debra Placek, MD, OB/GYN

Humaira Qasimyar, MD, Pediatrics

Anthony Cox, PA-C, Physician Assistant

Marissa Ebel, APRN-NP, Family Nurse Practitioner

Trishia Frost, APRN-NP, Family Nurse Practitioner

Arianne Gesell, PA-C, Physician Assistant

Sarah Grady, PA-C, Physician Assistant

John Grandgenett, APRN, Family Nurse Practitioner

Mary Hofferber, APRN, Family Nurse Practitioner

Samantha Lefebvre, DNP, NP-C, Family Nurse Practitioner

Buffy Lewis-Hunt, APRN-NP, Family Nurse Practitioner

Caitlin Neukirch, PA-C, Physician Assistant

Michele Overhalser, APRN-NP, Family Medicine Practitioner

Nicole Wilford, APRN-NP, Family Medicine Practitioner

Behavioral Health Providers

Brenda Merideth, LIMHP, MSW

Heather Nielsen, APRN

Shay Piel, PLICSW

Heather Swezey, LIMHP

Dental Providers

Layusiana Ciobanu, DDS

John Kuvetakis, DDS

Arathi Reddy, DMD

Wendy Ohnoutka, RDH Dental Hygienist

Alyssia Cassias, RDH, Dental Hygienist

Tomasa Aljanabi, RDH, Dental Hygienist

Cynthia Carlson, RDH, Dental Hygienist

As always, Bluestem Health in Lincoln, Nebraska is here to see patients who need immediate care while also keeping availability open for healthy, elderly or immunocompromised, children, and pregnant patients.

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Shane Ludwig

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Shane Ludwig, Bluestem Health’s COO since 2014, has been developing a skilled and dedicated team as his role and Bluestem Health has grown.

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