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MaternalChildHealth

For Families

1st Five is a NO COST service program through Firefly.  We are here to help children (birth to five years) and families in many ways.

We can assist by connecting you to services to help with the following: 

1stFive Logo web
  • Speech and developmental concerns 
  • Financial assistance 
  • Counseling 
  • Housing 
  • Employment 
  • Access to community resources 

How can 1st Five help you?

1st Five will connect your family to resources in the community. If there are any concerns that affect your family or your child’s development and you would like some help with those concerns, the doctor’s office contacts 1st Five. A Development Support Specialist will call you to get more information about your concerns and help you to find the support or services you need in the community. 1st Five also lets your doctor know which resources you used. 1st Five has no income guidelines and there is no fee for participating in the program.

For More Information

Or contact Kerry Hurley at khurley@familyia.org or 712.256.9566 ext. 208.


For Providers

1st Five is a public-private partnership bridging primary care and public health services in Iowa. The 1st Five model supports health providers in the earlier detection of social-emotional and developmental delays and family risk-related factors in children birth to 5 and coordinates referrals, interventions and follow-up. This is done through an enhanced, short-term care coordination model, connecting families to resources in their community. The goal is for all Iowa children to grow to be happy, healthy, and safe.

The benefit of 1st Five to providers is that there is now a one-stop shop for referrals for a wide-variety of concerns plus you will learn which resources the family has actually accessed and used and which resources they have not. There is continual communication between  1stFive Developmental Support Specialists and providers to keep updated on the status of their patient. Additionally, 1st Five provides free continuing education credits monthly, and drive-by consultation with specialists such as pediatric psychiatrists, developmental specialists and dietitians. For more information, contact Kerry Hurley at khurley@familyia.org or (712)256-9566 Ext 208.

FINAL October 2023 1st Five Model

Medical providers currently engaged in the 1st Five Program in Cass, Harrison, Mills, Monona, Pottawattamie & Shelby counties:

Cass County

Anita Medical Center, Anita, Iowa
Stacey Bean PA-C, Dr. Bethel Kopp, Mary Robinson PA-C, Emily Wittrock ARNP

Atlantic Medical Center, Atlantic, Iowa
Dr. Ellen Berry, Dr. Autumn Keiser, Max Starlin PA-C,  Emily Wittrock ARNP,  Scott Hixson PA-C, Susan Herr-McDowell PA-C, Kellie Enderson ARNP, Mary Robinson PA-C

Midwest Health Center, Atlantic, Iowa
Haley Kickland, FNP

Griswold Medical Center, Griswold, Iowa
Kellie Enderson ARNP, Mary Robinson PA-C, Max Starlin PA-C, Dr. Angela Weppler

Massena Medical Center, Massena Iowa
Dr. Bethel Kopp, Whitney Schafer ARNP, Emily Wittrock ARNP

Harrison County

CHI Clinic, Dunlap, Iowa
Jane Gambs PA-C, Jennifer Hall ARNP, Dr. Nathaniel Alvis

CHI Clinic, Logan, Iowa
Dr. Nathaniel Alvis, Dr. Carrie Grady, Melissa Klutts ARNP

CHI Clinic, Missouri Valley, Iowa
Dr. Allison Pagan, Dr. Daniel Richter, Alyssa Hamik PA-C, Sharron Pitt ARNP

CHI Clinic, Woodbine, Iowa
Dr. Daniel Desjardins, Christy Jackson ARNP

Mills County

CHI Health Clinic, Glenwood, Iowa
Dr. Robert Kent, Caitlin Walter, ARNP

Methodist Physicians Clinic Family Practice, Glenwood, Iowa
Dr. Michael Schmiesing, Dr. Ronald Silvius, Dr. Matthew John Lukey, Madison Blankenship, NP

Methodist Physicians Clinic Family Practice, Malvern, Iowa
Sandra Leaders, NP

Malvern Medical Clinic, Malvern, Iowa
Dr. Thomas Baer, Arinda Reher APRN

Morona County

Burgess Health Clinic, Mapleton, Iowa
Dr. Lynn Charrlin, Chad Walker, PA-C

Family Medicine Clinic, Onawa, Iowa
Dr. Paul Dudley, Dr. Brandon Kovar, Dr. Shannon Kennedy, Dr. Allison Kovar, Dr. Tracy Kahl, Jennifer Stodden PA-C, Gail Moser PA-C, Rhonda Miller PA-C, Kevin Kollbaum PA-C

Horn Physicians Clinic, Mapleton, Iowa
Dr. Curtis Hesse, Trudy Bader, APNP, Michelle Doty, ARNP

Pottawattamie County

Methodist Physicians Clinic Pediatrics, Council Bluffs, Iowa
Dr. Shawn Jones, Dr. Andrew Maxwell, Michelle Misek-Saub, PA-C, Bridget Buck, PA-C

All Care Health Center, Council Bluffs, Iowa
Dr. Cristella Torres, Teresa Dowling, ARNP, FNP-BC, PMHNP-BC,  Dr. Linda Garcia-Dorta, Nancy Childe, ARNP, Oliva Woita, ARNP, FNP-C, Mary Grider, ARNP, Melissa Marshall, ARNP

All Care Health Center Lakin Campus, Council Bluffs, Iowa
Oliva Woita, ARNP, FNP-C

Underwood Family Practice, Underwood, Iowa
Jackie Sullivan-Ogg, ARNP

TriCenter Clinic, Minden and Council Bluffs, Iowa
Dr. Glenn Hurst (Minden), Alan Pokorski, PA-C

Myrtue Medical Center, Avoca, Iowa
Patrick Pucelik, ARNP, Dr. David Erlbacher, Dr. Tina Flores Schechinger

CHI Health Family Practice, Oakland, Iowa
Dr. Allison Pagan, Dr. Daniel Richter, Tracy Schoening, APRN, Christy Quillen, APRN

Methodist Physicians Clinic Family Practice, Council Bluffs, Iowa
Dr. Christian Jones, Dr. Takashi Kawamitsu, Dr. Jessica McCool, Dr. Thomas McElderry, Dr. Rachel Stearnes, Ann Wordekemper, PA-C, Katelyn Larsen, PA-C

Methodist Physicians Clinic Family Practice – Risen Son, Council Bluffs, Iowa
Dr. Janet Reuter, Dr. Jennifer Stone, Dr. Kent Willadsen, Dr. Brian Gartrell, Jill Jensen, PA-C, Erica Kilnoski, PA-C

West Broadway Clinic, Council Bluffs, Iowa
Dr. Diana Rabadi-Marar, Dr. Isam Marar, Laura Quinnette, PA-C

Bluffs Family Health Care, Council Bluffs, Iowa
Dr. Joseph Wanzek III, Wendy Johnson, PA-C

CHI Health–Valley View, Council Bluffs, Iowa

  • Family Medicine: Elizabeth Hinzmann, APRN, Dr. Umair Khan, Dr. Cheryl L. Madson, MD, Kate Nelson, ARNP, Katie Peterson, PA-C, Jared Scherer, PA-C, Dr. Monica Schmidt, Josalynn Swan, PA-C , Dr J. Gregory Thomas, Dr. Nathan Thomas,  Dr. James L. Whalen, Dr. Diva Wilson
  • Pediatrics: Laura Denning, CPNP, BSN, MSN, Sina Linman, CPNP, APRN, Dr. Enehomere Okoruwa

CHI Health–West Broadway, Council Bluffs, Iowa

  • Family Medicine: Dr. Jamie Armbruster, Marcy French, ARNP, Dr. Krista Hill, Michaela Lintner, ARNP, Dr. Barclay Monaster, Dr. Mel Roca, Sara Rygol, PA-C, Tara Sands, DNP, APRN, FNP-C, Dr. K Neil Sheppard, Joyce Vacek, PA-C,
  • Pediatrics: Dr. Enehomere Okaruwa, Laura Denning, CPNP, BSN, MSN, Sina Linman, CPNP, APRN

First Care Medical Center, Council Bluffs, Iowa
Dr. Vikrant Salaria, Dr. Shelly Nanda, Dr. Margarita Rodriguez Escobar, Dr. Stephen C. Smith

Ridge Family Practice, Council Bluffs, Iowa
Dr. Clarine Coker, Caitlin Walter, ARNP

Shelby County

Myrtue Medical, Harlan, Iowa,  Earling Iowa,  Elkhorn, Iowa, and  Shelby, Iowa
Dr. Sarah Mgonja, Patrick Pucelik ARNP, Denise Suedkamp PA-C, Jean Stamp ARNP,  Dr. Brian Anderson, Jennifer Bruck ARNP, Jill Ferry PA-C, Dr. Tina Flores

Funding for these services is provided by Iowa Health and Human Services.

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