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Bluestem Health in Lincoln, Nebraska is made up of high-quality healthcare providers who care well for our patients and the community, and we have been providing comprehensive healthcare services since 2003.

We are on the cutting-edge of family medical practices in Lincoln by implementing an integrated care model that offers our patients family medicine and pediatrics, behavioral health, dental services, pharmacies, and more – all through one organization with dedicated, passionate providers.

Our Providers

Horacio Alvarez Ramirez

Horacio Alvarez Ramirez, MD

Bich Chau

Bich Chau, MD

Family Medicine
Reba Cooksley

Reba Cooksley, DNP, APRN-NP

Family Nurse Practitioner

Anthony Cox, PA-C

Physician Assistant
Trishia Frost

Trishia Frost, APRN-NP

Nurse Practitioner

Arianne Hollman, PA-C

Physician Assistant
Sarah Grady

Sarah Grady, PA-C

Physician Assistant

John Grandgenett, APRN-NP

Family Nurse Practitioner

Michael Israel, MD

Chief Medical Officer
Heather Kleeman

Heather Kleeman, DO

Family Medicine
Charles Kreshel, MD

Charles Kreshel, MD

Family Medicine
Meet Julia Lainhart, PA-C

Julia Lainhart, PA-C

Physician Assistant

What Our Providers Are Saying

I enjoy working at Bluestem because the environment is focused on improving healthcare for all patients and is committed to providing culturally-sensitive care throughout the community.

I consider it a privilege to work together with the families who bring their children to Bluestem Health to get their kids off to the healthiest start possible.

I believe Bluestem Health’s role in the community will continue to grow as they continue to offer an integrated behavioral health model of care that will have a greater impact on those requiring services.

Working at this clinic for nearly 20 years, you get to know each other’s strengths, I love the fact that we all work as a team and look to each other for expertise when managing a complicated health issue.