Healthcare Professionals

Melissa Frazier, ARNP

Melissa Frazier is a Advanced Registered Nurse Practitioner at MRHC’s Family Practice Clinic, where she provides care for patients of all ages. Melissa is passionate about building long-term relationships with patients and prioritizing prevention to catch issues early and support long-term wellness.

Melissa offers a wide range of services, including chronic disease management, women’s health, and in-office procedures such as joint injections, skin tag removal, and Nexplanon services. She is also certified to provide DOT physicals and knee injections.

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In The News

MRHC Welcomes Family Practice Provider, Melissa Frazier

June 30, 2025

Manning Regional Healthcare Center (MRHC) is proud to welcome Melissa Frazier, ARNP, to the Family Practice Clinic. Appointments can now…

Amber Croghan, Health Coach

Healthcare Professionals

Amber Croghan, Health Coach

General Family Practice

Amber Croghan, the MRHC Health Coach, ensures that patients are identified and receive preventive care and wellness. This includes Medicare age patients who need an annual wellness visit, preventive care screenings, and a provider visit to ensure seniors are staying well. During the annual wellness visit, problems can be identified and treated before they become complex and require hospitalization. Staying well is the goal.

Amber and the health coach assistant/clinic scheduler work closely to ensure annual wellness visits are scheduled and completed. Transition care management visits or TCM visits are also scheduled by the Health Coach/Health Coach Assistant to ensure patients are recovering and their needs are met after a hospitalization.

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In The News

Caring for Family, Friends, and Community: Amber Croghan’s Story

December 16, 2024

Amber Croghan’s inspiration to enter healthcare started close to home. From working at the Manning Plaza in high school to…

Sara Powers, ARNP

Healthcare Professionals

Sara Powers, ARNP

General Family Practice

Sara Powers, ARNP, joined the Family Practice Clinic in March 2022 with the intention to offer more same-day appointments. Sara serves as a dedicated provider focused on seeing sick patients.

Originally from Omaha and now residing in Defiance, Iowa, Sara is excited to begin meeting patients. She looks forward to caring for local families and providing a continuum of care from birth until the elderly years.

Meet Sara

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In The News

Family Practice Clinic Receives Patient Experience Award

February 16, 2024

Manning Regional Healthcare Center is proud to announce that their Family Practice Clinic has received The Guardian of Excellence-Patient Experience…

Vitito Thrives as Nurse Practitioner at MRHC

January 13, 2023

Manning Regional Healthcare Center’s Family Practice Clinic provider, Sara Vitito, ARNP, knew she wanted to work in healthcare for as…

MRHC Makes Changes to Enhance Patient Experience

March 11, 2022

Manning Regional Healthcare Center (MRHC) has made recent changes to improve patient accessibility to providers and convenience of care. Sara…

Courtney Rupiper, PA-C

Healthcare Professionals

Courtney Rupiper, PA-C

General Family Practice

Courtney joined the MRHC Family Practice Clinic as a Certified Physician Assistant in November of 2017. She is a graduate of the University of Northern Iowa and received her PA degree from St. Ambrose University.

Meet Courtney

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In The News

MRHC Wound Care Clinic Receives Center of Excellence Award

August 27, 2025

Manning Regional Healthcare Center (MRHC) is pleased to announce that the Wound Care Clinic is a recipient of RestorixHealth’s highest…

Mammos for Misses Women's Health Event on October 16th

October 4, 2024

MRHC is proud to recognize Breast Cancer Awareness Month this October through its “Women Supporting Women” initiative, offering opportunities designed…

Family Practice Clinic Receives Patient Experience Award

February 16, 2024

Manning Regional Healthcare Center is proud to announce that their Family Practice Clinic has received The Guardian of Excellence-Patient Experience…

Rupiper Finds Calling as PA at MRHC’s Family Practice Clinic

December 15, 2022

After debating a career in business or physical therapy, Courtney Rupiper found her calling as a physician assistant and now…

Douglas McLaws, DO

Healthcare Professionals

Douglas McLaws, DO

General Family Practice

Dr. McLaws, DO, joined the MRHC Family Practice Clinic in June of 2011 and is board certified in family medicine by the American Board of Family Practice. He graduated from Des Moines University in 1998 and holds an undergraduate degree in Biology and Business Management. His experience ranges from geriatrics along with pediatric and adolescent medicine. He has special interests in preventative medicine and obstetrics as well as specialized training in endoscopic procedures.