This content is password protected. To view it please enter your password below:


Virtual Check-in is only available during Twin Rivers Urgent Care’s clinic hours.


Virtual Care is only available during Twin Rivers Urgent Care’s clinic hours.

Abby Hansen, PA-C

Abby Hansen brings six years of experience to Twin Rivers Urgent Care. She received a Bachelor of Science with Distinction in Biopsychology from Nebraska Wesleyan University in Lincoln, NE in 2009. She went on to receive her Master of Physician Assistant Studies degree in 2012 from Union College in Lincoln, NE. For close to four years, Abby worked in a hospital in central Nebraska. She has been working in urgent care for two years. She has Life Support Certifications in Basic, Advanced Cardiac, Advanced Trauma, and Advanced Pediatric. She also is certified in IMPACT Concussion testing and is on the National Registry of Certified Medical Examiners. Abby also takes time to teach women in the community the importance of preventative health and has spoken on Breast Cancer awareness and screening as well as vaccinations and diabetes.
Bryan Mizner

Bryan Mizner, PA-C

Bryan Mizner brings eight years of healthcare experience to Twin Rivers Virtual Care. He is certified by the National Commission on Certifications of Physician Assistants (NCCPA) and holds a Nebraska Physician Assistant license. Bryan has worked in emergency medicine and joined Twin Rivers Urgent Care in August 2017. Bryan holds Advanced Trauma, Advanced Cardiovascular, and Pediatric Advanced Life Support as well as Basic Life Support certifications.
Dr. Bryan Nokelby

Bryan Nokelby, MD

Bryan Nokelby has 24 years’ experience in family practice and urgent care services. He received his medical degree from Creighton University in 1994, and after completing his residency settled in North Platte where he practiced family medicine for 8 years before opening Twin Rivers’ first urgent care center in 2006. Since then he has led Twin Rivers’ expansion to the four facilities in Nebraska with the mission of putting the patient first. Dr. Nokelby instills that philosophy with his teams in both the urgent care centers and the virtual care platform. He is certified by the American Board of Family Medicine.
Charly Spangler

Charlyne "Charly" Spangler, APRN, FNP-C

Charlyne (Charly) Spangler has worked in the healthcare industry for nine years. She received her Master of Science in Nursing in 2013 and joined Twin Rivers Urgent Care. She worked as a critical care nurse and a pediatric home health nurse before achieving her Advance Practice Registered Nurse certification. She is a Board-Certified Family Nurse Practitioner through The American Academy of Nurse Practitioners (AANP). She practices both urgent care and primary care.

Charly is currently enrolled in the Doctor of Nursing Program at the University of Missouri Kansas City, with a special focus on virtual medicine.

Cheryl Hunt

Cheryl Hunt, APRN

Cheryl Hunt has 35 years of experience as a Nebraskan medical professional. She started as a CNA and worked her way up to NP. She has practiced as a Licensed and Registered Nurse in both Medical Centers and Hospitals in Nebraska and was a flight nurse at Good Samaritan Hospital for over 10 years. While there, she received the Nursing Educational Excellence award in 2005 and 2008. She completed her Master of Science in Nursing from the Family Nurse Practitioner Program, University of Nebraska – Kearney in 2011. She has experience in the ER, ICU and flight. Cheryl has taught many medical courses including, ACLS, PALC, BLS, TNCC.

Dr. Cheryl Roth

Cheryl Roth, MD

A staple in the North Platte community, Dr. Cheryl Roth brings 25 years of experiences to Twin Rivers Urgent Care. She has 14 years of experience as an emergency room physician and acted as the Medical Director of Transport Services for Good Samaritan Health Services in Kearney, Nebraska. During her tenure there, she has also filled the roll as a Family Practice Physician at two of their health clinics as well as Chairman for both the Medicine Department and the Medicine Quality Committee at Good Samaritan Hospital in the years spanning 2011 to 2013. Dr. Roth has also been the Medical Director for the Kearney Volunteer Fire Department and for 12 rural volunteer EMS squads in Nebraska.
David Farrar

David Farrar, PA-C

David Farrar provides his 11 years of experience for Twin Rivers Virtual Care. He graduated from MidAmerica Nazarene University of Olathe, KS with a Bachelor’s Degree in Biology, Chemistry, and Secondary Education in 1990. He received his Physician Assistant Studies degree from Union College of Lincoln, NE in 2007. David’s experience includes working in family practices, medical clinics, and nursing homes as well as in hospitals and emergency rooms.
Jodi Fuehrer

Jodi Fuehrer, APRN, FNP, NP-C

Jodi Fuehrer brings 27 years of healthcare experience to Twin Rivers Virtual Care. She graduated with her Masters of Nursing Degree as an Advanced Practice Registered Nurse (APRN) from Creighton University in 2008. She is nationally certified through the American Academy of Nurse Practitioners (AANP) as a Family Nurse Practitioner and holds a Nebraska Physician Assistant license. She worked in family practice for 6 years before joining Twin Rivers Urgent Care career in 2014.

She completed a mini-fellowship from the Mayo Clinic in the Diagnosis and Treatment of Children and Adolescents with Psychiatric Disorders. Prior to completing her nurse practitioner degree, she worked as a RN for 15 years in the areas of obstetrics and gynecology, oncology, occupational medicine, and school nursing.

Johnna Pierson

Johnna Pierson, PA-C

Johnna Pierson received her Master of Science in Physician Assistant Studies in 2008 from the A.T. Still University, Arizona School of Health Sciences. She has 16 years of experience in the medical field including working as a Nurse’s Assistant and Home Health Aide to a Physician Assistant. Johnna is bilingual in both English and Spanish and not only received a Bachelor of Arts in Spanish from the university of Nebraska-Lincoln, but also studied abroad for a semester at the Universidad de Castilla la Mancha in Toledo, Spain.
Julie Hatch

Julie Hatch, APRN

Julie Hatch brings her 19 years in medicine to Twin Rivers Urgent Care. She graduated from Creighton University School of Nursing Omaha, NE obtaining a Bachelor of Science in Nursing in 2000 and a Masters of Science in Family Nurse Practitioner in 2009. She has worked in both clinic and hospital settings.
Nichole Kinnamon

Nichole Kinnamon, APRN

Nichole Kinnamon graduated from Creighton University in 2015 where she achieved her Master of Science degree in Nursing. Nichole is board certified in Family Practice by the American Academy of Nurse Practitioners. Prior to obtaining her graduate degree, Nichole worked as a registered nurse for 9 years in open heart recovery at Nebraska Heart Hospital. Nichole specializes in family practice and urgent care for patients of all ages.

What you need to know...

At Twin Rivers, we are focused on taking care of our community. We offer both walk-in and booked visits. Please note that booked appointments function as a pre-registration to save you time. There may be instances in which a short wait time will be required for those that booked. We are dedicated to get you in as soon as possible. Thank you for your understanding.