Craig Hoffman, PA-C is a certified Physician Assistant specializing in Cardiac Electrophysiology and the management of heart rhythm disorders. He brings over 20 years of advanced cardiac experience to Mahaska Health, with a focus on atrial fibrillation care, cardiac rhythm management devices, and diagnostic testing. Craig began his career at Mayo Clinic as a Certified…
Michelle Harban, ARNP, is a board-certified Nurse Practitioner specializing in women’s health and oncology. Michelle earned her Master of Science in Nursing, Women’s Health Nurse Practitioner from the University of Cincinnati, and her Bachelor of Science in Nursing from Grand View University. Michelle brings over twenty years of clinical experience and over a decade of…

Makayla Kruse, PA-C, is a board-certified Physician Assistant with the Mahaska Health Walk-In Clinic team. Makayla is dedicated to providing compassionate, patient-centered care for individuals and families throughout our community. Makayla earned her Master of Science in Physician Assistant Studies from Des Moines University in Des Moines, Iowa, and her Bachelor of Science in Human…
Hanna Shively, ARNP is a board-certified Family Nurse Practitioner with a focus on Ear, Nose and Throat care. Hanna earned her Bachelor of Science in Nursing and completed a Master of Science in Nursing at Purdue Global University. Hanna specialized in Otolaryngology (Ear, Nose, and Throat) at the University of Iowa, where she built a…
Ruffin Tchakounte, DO specializes in Internal Medicine as a Hospitalist. He earned his Doctor of Osteopathic Medicine and Master of Science in Anatomy from Des Moines University, and his Bachelor of Arts in Chemistry from the University of Iowa. Dr. Tchakounte completed his Internal Medicine Residency through the University of Iowa, in the UnityPoint Health…




