Dr. Robert Hayes joined Intermountain Health after recognizing it as a healthcare organization committed to quality—an alignment with his own values and standards. With over four decades of experience, he continues to find fulfillment in caring for patients, especially when they express their gratitude. He enjoys collaborating with fellow providers and remains passionate about the hands-on challenges of minor surgical... Read More about Robert C. Hayes, MD

Having worked both in the Arctic and the desert, Dr. Thomas Wiggins prefers to live where temperatures are more often above zero than they are below.At Intermountain Health's Pahrump Shoshone myGeneration Senior Clinic, Dr. Wiggins strives to listen and let the patient’s story drive care. It is important to him that provider and patient should mutually develop a plan that... Read More about Thomas Wiggins, MD

Jim Wang, DO, is a family medicine physician who cares for patients of all ages. He has a special interest in chronic disease management and helping patients improve their long-term health. Dr. Wang completed his family medicine residency through the University of Illinois Family Practice Program in Rockford, Illinois.

Shaelle “Elle” Pulley, FNP-C, is a dedicated primary care provider serving the Pahrump community. She is passionate about delivering comprehensive, patient-centered care across the lifespan, with a particular interest in women’s health. Elle finds the greatest fulfillment in helping patients better manage chronic conditions, empowering them through education, and advocating for their overall well-being. She values building strong relationships with... Read More about Shaelle Pulley, NP

Adam Ryave, DO, is a board-certified physician in Pahrump, NV. He earned his undergraduate degree from Brandeis University in Waltham, MA, and a Master of Medical Sciences from Morsani College of Medicine at the University of South Florida in Tampa. Dr. Ryave graduated with his Doctor of Osteopathic Medicine from Touro University and recently completed a Family & Community Medicine... Read More about Adam J. Ryave, DO

A native of Las Vegas, Dr. Horacio Guerra is a board-certified internist based in Pahrump, Nevada, dedicated to providing compassionate, comprehensive care with a strong focus on prevention and long-term wellness. His clinical interests include preventive medicine, lifestyle counseling, and the management of chronic conditions such as diabetes, hypertension, and obesity. Dr. Guerra believes in building meaningful, trusting relationships with... Read More about Horacio Guerra, MD

Rosio Gonzalez joined the Intermountain Health team because she identifies with the mission of helping patients live the healthiest life possible. Rosio enjoys family practice because she feels it’s the heart, soul, and foundation of all medicine. She gains great satisfaction from seeing her patients’ conditions improve. Growing up in Miami, Florida, she learned to adapt to the needs of... Read More about Rosio Gonzalez, NP

Lori is an experienced and compassionate Doctor of Nursing Practice (DNP) with Intermountain Health, serving the community of Pahrump, Nevada, focusing on primary care. With a comprehensive background in nursing and advanced clinical training, she specializes in providing holistic, patient-centered care for individuals and families across the lifespan. Lori earned her Doctor of Nursing Practice degree from St. John Fisher.... Read More about Lori J. Barnes, DNP

Dr. Saira Beg is always looking to challenge the status quo of medicine as she strives to grow and learn in her field. Growing up in London, Dr. Beg was exposed to a different kind of healthcare system, as healthcare is socialized in England. This influenced her decision to go into medicine as everyone, from birth to the elderly, was... Read More about Saira Beg, MD

Sheila Feldman joined Intermountain Health in Pahrump because she feels that working for Intermountain Health is an excellent opportunity to provide senior care to older adults. Sheila previously worked as a lead practitioner at Arizona State Prison. She also worked in pediatric neurology and developmental behavior at the Golisano Children’s Hospital in Ft. Myers, Florida, and in hospice care for... Read More about Sheila Feldman, NP

Born and raised in Illinois, Dr. Stephen Andracki was inspired to help people because of the example his physician father set for him. Today, Dr. Andracki is a dedicated doctor who enjoys the unique privilege of helping people on a daily basis. After earning his bachelor’s from Benedictine College in Lisle, Illinois, Dr. Andracki received his medical degree from University... Read More about Stephen B. Andracki, MD

Susan has over 30 years of experience as a registered nurse in the ICU and ER. She earned her Master's Degree in Nursing in 2016 and spent the past 7 years as a Family Nurse Practitioner, specializing in occupational health and pain management. Sue is certified through the American Nurse's Credentialing Center (ANCC) and holds Medical Examiner certification for the... Read More about Ms. SUSAN NYTES, FNP

Medicare/Medicaid/Aetna/UHC/Anthem BCBS accepted. MedSpine offers the highest standard of patient care to ensure your physical health. Dr. Lewis also works collectively with a medical practitioner to speed a patient"s recovery and enhancement of their functional abilities.Each treatment plan is custom designed based on a patient"s condition.