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Kara Winkler, ARNP, CNM Kansas, Missouri
I have been a certified nurse midwife for 14 years. Prior to this I worked as an RN in labor
and delivery and practiced as a physician assistant in OB/GYN for 6 years.
I have attended birth as a midwife in a variety of birth settings including hospital, free
standing birth center and home. I have been fortunate to learn so much from all of these
varied experiences. In 2015, my midwife colleague Julie Gorenc and I began our own
practice. Challenges turned into blessings, which lead us to providing mostly home birth
I am amazed daily by the normalcy of pregnancy and birth. I am so thankful for the
beautiful families that I get to work with and support. I am excited to add telehealth as a resource for Kansas and Missouri midwives and clients. This is perfect timing for the Midwest, as midwifery continues to grow and expand services in our area.
Michelle Kassens CNM, ARNP WASHINGTON
Michelle Kassens has been a CNM, ARNP since 2011. Her career began as a labor and delivery nurse. Currently, she works in both a hospital and birth center setting. She has a special interest in breast feeding & lactation medicine.
Angelita Nixon, CNM -West Virginia
My career as a midwife has spanned over 400 deliveries - with more than 80 of these births occurring outside the hospital. I maintain a collaborative agreement with a nearby board-certified OB-GYN physician, should the need arise for medical care or hospitalization. I believe that birth is a normal process, and a healthy event. I believe that pregnancy is an exciting time, for learning and for change. I believe the midwife’s role is to teach and to serve, and to safeguard the health of both mother and child, while maintaining an atmosphere for family intimacy and bonding. Preventing complications is my foremost concern, which means close personal surveillance throughout pregnancy and birth.
I earned my master’s degree in nursing in 1998 at Case Western Reserve University, and have been certified by the American College of Nurse-Midwives (ACNM) since 1998. Certified in neonatal resuscitation and CPR, I hold current licensure in WV and OH, and active memberships in both the national and local chapters of ACNM, the Midwives’ Alliance of North America (MANA), and Doulas of North America (DONA).
At home I live with my cat and two kittens. I enjoy speaking engagements, mentoring nursing and medical students, and I love to travel, both in the US and abroad.