HopeWest Medical Team
Heidi Marlin, MD
PACE Medical Director
Phil Ramos, MD
Hospice & Palliative Care Associate Medical Director
Darrin Green, MD
Physician
Thomas Clagett, MD
Physician
Laura Harrison, NP
Nurse Practitioner
Casey Peiffer, NP
Nurse Practitioner
Ann Cromika, NP
Nurse Practitioner
Jaclyn Gerardot, NP
Nurse Practitioner
Deb Bailey, NP
Nurse Practitioner
Audrey Kramer, ACNP-BC
Nurse Practitioner
Nancy Bauer, NP
Nurse Practitioner
Kirsten Vogelsang, NP
Nurse Practitioner
Carol Fowler, MD
Physician
Kellie Turner, MD
Physician
Heidi Marlin, MD
PACE Medical Director
Dr. Marlin has worked with HopeWest in the Delta and Montrose areas since 2011. She is certified as a Hospice Medical Director and board-certified in Family Medicine. Prior to her career in hospice and palliative medicine, she practiced full-spectrum family medicine from 2008-2012.
She completed her Family Medicine Residency at Northern Colorado Family Medicine in Greeley, Colorado, and obtained her medical degree from Oregon Health and Sciences University School of Medicine in 2005.
She is married to a family practice physician and they have two girls. Outside of work she enjoys running, skiing and spending time outdoors with her family.
Phil Ramos, MD
Hospice & Palliative Care Associate Medical Director
Dr. Ramos started with HopeWest in August 2023. He attended medical school at Baylor College of Medicine in Houston, Texas. He stayed at Baylor for his internal medicine residency and served as Chief Medical Resident at Baylor St. Luke’s Medical Center and The Michael E. DeBakey VA Medical Center. Dr. Ramos completed his nephrology fellowship at Vanderbilt Medical Center.
He moved to Denver, Colorado in 2009 and worked as a nephrologist in private practice for nearly 10 years. He decided to pursue a career in palliative medicine and hospice and left nephrology practice to train at the Harvard Interprofessional Palliative Care Fellowship in Boston, Massachusetts, and graduated in 2019. He has worked at a hospice provider in the Front Range of Colorado since 2020. Dr. Ramos is a full-time hospice provider with HopeWest.
In his free time he enjoys spending time with family and friends, lifting weights, running, playing guitar, and traveling.
Darrin Green, MD
Physician
Dr. Green joined HopeWest in October 2022 at our Montrose location. Prior to joining HopeWest, Dr. Green provided care at the Montrose Veterans clinic for two years, was part of the Cedar Point Health Family Medicine Clinic in Montrose for three years, and in private practice in Montrose for 14 years as well as providing inpatient care at Montrose Regional Health until 2020.
Dr. Green also served on Montrose Regional Health’s Medical Executive Committee from 2009-2016 and was Chief of Staff 2015-2016. He attended medical school at the University of Colorado graduating in 2000 and completed a Family Medicine Residency in Denver in 2003.
Dr. Green grew up in Montrose and has a degree in Molecular Biology and German from the University of Colorado in Boulder. In his free time he enjoys spending time with his family, hiking, bike riding, and building furniture and guitars.
Thomas Clagett, MD
Physician
Tom Clagett is a Colorado native with proud roots on the Western Slope, where his great-grandfather homesteaded over one hundred years ago. He grew up in the Denver area and now calls Montrose home.
He completed his undergraduate education at Colorado State University and went on to earn a master’s degree in public health from the University of Colorado. He then attended medical school at the University of Colorado. He completed his residency in Family Medicine in Coeur d’Alene, Idaho. In 2020, he was called back home to Colorado. Hospice care can be challenging to provide, but Dr. Clagett finds it incredibly fulfilling for both patients and their families, as well as for himself.
Laura Harrison, NP
Nurse Practitioner
Laura Harrison has been a nurse since 1980 and completed her nurse practitioner degree from the University of Colorado in 2007. She also completed a Palliative Care Fellowship program in Los Angeles, California, in 2008. She has worked with HopeWest intermittently since 2004 and we were happy to have her return to work with us full-time again in February 2021. She is from Southern California and loves living in Grand Junction because of all the amazing hiking and cycling opportunities. She is also a proud grandmother.
Casey Peiffer, NP
Nurse Practitioner
Casey Peiffer started working for HopeWest in 2017 as an RN. She has practiced nursing in the community setting, quality department and at the Ferris Care Center before becoming a Nurse Practitioner. In 2021, she graduated from Walden University with a Master of Science as a certified Family Nurse Practitioner. In her free time, she loves spending time with her family in the mountains, four-wheeling, boating, camping and crafting.
Ann Cromika, NP
Nurse Practitioner
Ann Cromika is a board-certified Family Nurse Practitioner. She started as a paramedic in 2000, received her nursing degree in 2007 and became an Acute Care Nurse Practitioner in 2012 when she received her Master’s from Colorado State University. Born in Michigan, she knows what it’s like to experience all seasons in one day, which helped her adapt quickly to the Colorado lifestyle. She loves spending time with her granddaughter, Dawn, and her dog, Abby, exploring the mountains and scenic areas of Colorado.
Jaclyn Gerardot, NP
Nurse Practitioner
Jaclyn Gerardot has been an RN since 2015. In 2024, she received her Master of Science in Nursing from the University of Missouri-Kansas City as a Family Nurse Practitioner. She moved to Grand Junction in 2024 from Anchorage, Alaska, where she spent six years working at the Alaska Native Medical Center. Her other professional experience includes working for a cardiac clinic in Kansas City and in a hospital setting in Chicago.
In her free time, she enjoys backcountry skiing, mountain biking with her dog, and traveling.
Audrey Kramer, ACNP-BC
Nurse Practitioner
Audrey is a part-time nurse practitioner at HopeWest. While she still holds a full-time position at a local hospital, she is eager to work with patients and their loved ones during this very special and unique time in their lives.
During high school, Audrey learned her passion lay in the surgical field. Shortly after graduating, she started out in the operating room, then became a registered nurse in 1998. In 2012, she graduated from the University of Texas at Arlington as an Acute Care Nurse Practitioner, continuing to focus on surgery. Determined not to compartmentalize herself, in 2017 she began working with people with chronic illnesses, and those in the final chapters of their lives. Working with these patients and their loved ones became an additional passion for her.
Audrey grew up in Texas and came to Colorado (as quickly as she could!) in 2020 with her husband and two daughters, Campbell and Ella. She enjoys cooking, drinking good wine, hiking in beautiful weather, and watching movies.
Deb Bailey, NP
Nurse Practitioner
Debra Bailey is a 5th-generation native of Grand Junction, now with two 7th-generation grandchildren. Community and family are the heartbeat of Debra’s purpose. She received her undergraduate nursing degrees from Colorado Mesa University in ADN, BSN in 1980 and 1987. She received her degree as a Neonatal Nurse Practitioner in 1985 from South Dakota State University. In 1993 and 1998 Deb completed her graduate nursing education in Community Health, Leadership and Family Nurse Practitioner from the University of Colorado Health Sciences. Deb also has a PhD in Nursing from the University of Colorado, Denver, received in 2013.
She practices person and family-centered care with the guiding principle of Jean Watson’s teachings and theory, “Maybe this one moment, with this one person, is the very reason we are here on Earth at this time.”
Justine Maedeker, NP
Nurse Practitioner
Justine joined the HopeWest PACE team in February 2024. She is originally from the St. Louis area and has lived in various locations in Colorado for the past six years. Justine is a dual ANCC-certified nurse practitioner in adult-gerontology primary care and psychiatric mental health.
When she is not working, Justine enjoys being outdoors, walking with her dog, reading, and participating at the club level in Toastmasters International.
Nancy Bauer, NP
Nurse Practitioner
Nancy Bauer has been a nurse since 1998. She graduated from University of Madison, Wisconsin in 2007 with a Master’s Degree of Science in Nursing and is a certified Adult Nurse Practitioner. Her professional experience includes working for the VA Health System for 9 years and the past 7 years working with a local geriatrician to provide care to geriatric patients in the nursing home setting in the Grand Junction area.
She is originally from Wisconsin and loves living on the Western Slope of Colorado because of the warmer climate and outdoor activities.
Kirsten Vogelsang, NP
Nurse Practitioner
Kirsten started working for HopeWest in 2019 as a registered nurse, which sparked a passion for compassionate care of the geriatric population. She graduated from Colorado Mesa University in 2024 with a Master of Science in Nursing, specializing in primary care for the adult-geriatric population.
Before becoming a nurse, Kirsten graduated with a Bachelor of Science in biochemistry, with minors in English literature and Chinese from the University of California, Davis. She moved to the western slope of Colorado because of a love of the mountains. In her free time, Kirsten enjoys road trips with her family and spending time outdoors with her many animals. Behind-the-scenes heroes!
Carol Fowler, MD
Physician
Dr. Carol Fowler received her undergraduate degree in anthropology from Yale College in New Haven, Connecticut, and her medical degree from the University of Colorado School of Medicine in Denver, Colorado. She completed her family practice residency at St. Mary’s Hospital in Grand Junction, Colorado where she has resided with her family since 1985.
Dr. Fowler is board certified in Hospice and Palliative Medicine and in Family Medicine and began working for HopeWest in 2009 after having a family member in hospice services. Currently, she is also employed at St. Mary’s Hospital as the palliative care physician for their in-patient multidisciplinary Palliative Care Service. Her professional interests are hospice and palliative medicine and medical care of persons with intellectual disabilities.
Prior to receiving her medical degree, Dr. Fowler was an archeologist for 9 years. She has been knitting since she was eight years old and enjoys spinning yarn, weaving, and playing the piano.