Bigham, Kendra D MD

Tracie Foster is a certified Advanced Practice Nurse specializing in the treatment of adults aged 18 and older. She provides routine preventive care, such as health-risk assessments, immunizations, and screening tests, along with the management of chronic conditions including diabetes, asthma, heart disease, hypertension, Coronary Artery Disease (CAD), and obesity.

Alicia Santel, FNP-C, is a highly experienced Nurse Practitioner with over 16 years in wound care. She holds a master’s degree in nursing from Maryville University in St. Louis and is trained in hyperbaric oxygen therapy. Alicia treats a variety of wound issues, including burns, chronic and non-healing wounds, diabetic wounds, wounds from poor circulation, pressure ulcers, radiation wounds, skin tears, negative pressure dressings, and semisynthetic skin grafts. She is currently accepting patients in Centralia, IL.

Melissa Karaffa, APRN-CNP, is a Psychiatric Mental Health Nurse Practitioner at SSM Health Behavioral Health (Angela Center) in Centralia, IL. Melissa is trained to prescribe and manage medications that can complement therapy and address mental health concerns effectively. She works to address a comprehensive array of mental, emotional, and behavioral health issues that can significantly impact a person's well-being and daily functioning. Her areas of expertise include but are not limited to trauma, where she helps clients process and heal from past experiences; depression and anxiety, which can manifest in various forms and affect one’s quality of life; panic disorders that create intense periods of fear or discomfort; and bipolar disorder, which requires careful management of mood fluctuations. She works with individuals experiencing post-traumatic stress disorder (PTSD), schizophrenia, social phobias, Attention Deficit Hyperactivity Disorder (ADHD), chronic stress, and other related conditions. Our approach is holistic, focusing on the individual as a whole and adapting her therapeutic techniques to meet each patient’s unique needs. She works alongside the counselors as part of an integrated approach to help ensure that patients receive comprehensive care aimed at promoting their mental and emotional well-being.