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Welcome to Our Story Mental Health Services.

Anne Hofer | PMHNP-BC, PMH-C

Anne Hofer

I have been a registered nurse since 2009 in a variety of settings including psychiatry, internal medicine, and pediatrics. I graduated in 2017 with my Masters in Nursing from the University of Nebraska Medical Center. Through my educational journey, I knew that I wanted to work within the field of reproductive psychiatry and have had the opportunity to expand my knowledge and expertise in the field over the last several years working as a Psychiatric Nurse Practitioner.

In 2021, I earned my Perinatal Mental Health Certification which represents the most comprehensive education in this specialty to date. I look forward to diving into my work in the field of women’s mental health and reproductive psychiatry in this new setting.

I am happy to announce that I am able to serve members of the armed forces and their families covered by Tricare insurance.

What To Expect
  • Open dialogue and respectful recognition of your thoughts, beliefs, concerns and wishes for medication management.

  • Research based information regarding medication use, therapy and non-treatment.

  • Professional recommendations based on years of research, education and employment in the field of psychiatry.

  • If visiting for medication management during pregnancyor pre-conception counseling, we will take time to thoroughly discuss the risks and benefits of all options available and answer any questions you may have.

  • Children and spouses are always welcome to accompany the patient to office visits.

Zachary Beerman | PMHNP-BC

Zac Beerman

I am a board certified Psychiatric Mental Health Nurse Practitioner and a graduate of the University of Nebraska of Medical Center. I specialize in the treatment of adults who suffer from depression, anxiety, and ADHD. As a mental health provider, I utilize medications and talk therapy to create unique treatment plans for each of my patients that align with their goals. While working with me, I will get to know you as a person by listening to your thoughts and feelings, understand your life story, and learn about what you want to improve in order to serve you in the best way possible.


I enjoy working in mental health because I get to develop long-lasting relationships with each of my patients to support them through the good, the bad, and whatever else life may throw their way. I utilize the latest evidenced-based practice to ensure my patients are receiving high-quality care at every turn. I can’t wait to help you get started on the next chapter of your story.

Lindsey Ramirez | PMHNP-BC

Lindsey photo_edited.jpg

I have been working as a healthcare provider in some capacity since 2002, starting out as a Combat Army Medic and then going on to become a Registered Nurse. I ultimately earned my Master of Science in Nursing from the University of Nebraska Medical Center in 2021, specializing in the Psychiatric Mental Health Nurse Practitioner track. I first felt that the mental health field was my calling while earning my bachelor’s degree, which was then solidified when I began my nursing career in the neuro-surgical ICU in San Antonio, Texas. Throughout my time there I took care of many patients who were suffering from severe self-inflicted injuries, which allowed me to appreciate firsthand the impact that lack of access to mental health treatment can have on an individual, their family, and their community. My thought was always, “What if they had gotten help before things became too overwhelming and they felt like there were no other options?” I knew then that I wanted to provide that type of help, to not only save lives but to allow my clients to heal from trauma and learn to thrive in life. I believe that whole health must start with mental health and that physical and mental health are intricately intertwined. During a visit with me, I will listen carefully to your story and together we will create a treatment plan that is evidence-based yet tailored to your unique needs and specific goals. I use a combination of medication management and supportive talk therapy to achieve treatment goals and set you on the path to not just living, but thriving. Due to my personal experience, I have a deep passion for serving the military, Veterans, and their family members, although I am eager to provide care for ages 19-60 from all backgrounds. I will soon be licensed to practice in Iowa and am looking forward to serving individuals living there.

  • I do not prescribe or recommend marijuana or any cannabinoid products for the treatment of mental health disorders (this is research supported)

  • I do not prescribe narcotics

  • I do not recommend the use of long term benzodiazepines, and in most situations tapering schedules will be discussed/implemented
    (this is research supported)

  • I do not fill any controlled substances early

I Do Not Practice:
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