Our Team
Dr. Caisie Nowack
DNP, RN, APRN, FNP-C
CEO Riverside Medical, LLC
Meet Caise, owner of Riverside Medical & a board-certified Family Nurse Practitioner with a Doctor of Nursing Practice from Bradley University in Peoria, Illinois. With over 25 years of experience in healthcare management, she understand the complex and personal journey that comes with managing weight, skin health, hormone replacement and overall wellness.
As someone who has faced these challenges herself, Caisie brings a compassionate and individualized approach to care. She is certified in weight loss, hormone replacement, and skin management. Her mission is to provide evidence-based, effective solutions tailored to each client’s unique needs.
Caisie and her dedicated team prioritize ongoing research, utilizing a broad range of resources to stay at the forefront of treatments for weight loss, hormones, low energy, peptides, hair loss, acne, aging, hyperpigmentation, stretch marks, and more. Riverside Medical proudly partners with elite FDA-approved pharmacies to ensure prescriptions are delivered confidentially and conveniently.
Our offerings include a wide range of injectable, oral, and topical treatments for treating various conditions including weight loss and hormone management. Riverside Medical recognizes obesity as a chronic medical condition that deserves a long-term, supportive treatment strategy-not a quick fix.
Currently serving clients across Missouri, Kansas, Illinois, Iowa, South Dakota, Oklahoma, Oregon, Colorado, Kentucky, Ohio & continuing to expand into many other states. Caisie’s commitment is to listen, support, and celebrate your milestones as we work together toward your health and wellness goals.
As a functional provider holding multiple certificates, Caisie focuses on fixing the foundation to build your health journey. Through extensive laboratory testing, review & listening to the patient’s symptoms, Customized treatment plans are developed with two goals: patient safety & improving quality of life.

Riverside Medical Team
Our team is here to offer you the care & support you need to look & feel your best with our weight loss & skin care regimens, conveniently in your home or on the go.

Dr. Danny Carroll
Meet Dr. Danny Carroll, a board-certified physician and collaborating physician for Riverside Medical. He provides expertise in acute care, fracture management, and wellness.
Dr. Carroll earned his medical degree from the University of Arizona and proudly served in the U.S. Navy Medical Corps. He went on to complete his residency at the University of Missouri–Kansas City, where he developed a strong foundation in comprehensive orthopedic care.
Throughout his career, Dr. Carroll has provided exceptional care to patients with a wide range of orthopedic and musculoskeletal conditions and health conditions, combining clinical expertise with a compassionate, patient-centered approach.

Ashley Gray, BSN, RN
Meet Ashley, BSN, a dynamic and compassionate nurse with a strong background in acute and chronic disease management, critical care, and healthcare education. Ashley holds a Bachelor of Science in Nursing from Central Methodist University and brings nearly two decades of experience to our team.
Certified in Aesthetic Medicine — including Botox & dermal fillers. Ashley also specializes in infusion and injection therapies, combining clinical skill with a passion for helping clients feel their best inside and out.
A proud mother of five, Ashley thrives in fast-paced environments both at home and in her nursing career. In her downtime, she enjoys family life, reading, antiquing, decorating, and exploring the small joys of everyday moments.
Now entering a new phase of life, Ashley has embraced a deeper commitment to personal wellness — physically, spiritually, and emotionally. Her goal? To help others become the best version of themselves, just as she continues to do every day.

Beth Epple, LPN
Meet Beth, Licensed Practical Nurse with over 18 years of experience in primary care. She proudly serves patients of all ages in Hermann, Missouri, since 2006. Beth’s passion lies in building lasting relationships with patients and helping them feel heard, supported, and cared for.
Outside of nursing, Beth is a wife and mother of three busy children enjoying life on their family farm, where she helps with day-to-day operations. Life is always full — but she wouldn’t have it any other way.
Beth’s passion is self-improvement, and she believes in striving to make every day better than the last. She inspires others to do the same through her compassionate care.

Frankie Horstman
We’re excited to introduce Frankie, a passionate and dedicated member of our team with over 25 years of experience in office administration. Throughout her career, Frankie has honed her expertise in organization, communication, and public service, bringing warmth, efficiency, and professionalism to every interaction.
Recently, Frankie began an exciting new chapter in the healthcare field, driven by her long-standing passion for helping others and making a positive impact in people’s lives. With her background in dental assisting, she is especially well-suited to provide patient-centered services such as teeth whitening and other supportive care roles within the clinic.
Frankie is married, a proud mother of two, and a grandmother to two grandsons — roles she treasures above all. When she’s not at work, she enjoys spending time outdoors, fishing, and creating lasting memories with her family. Her strong sense of family and community fuels her commitment to helping patients feel comfortable, confident, and cared for.

Kristin Williams , MA
Meet Kristin, who graduated in 2007 with an Associate Degree in Applied Science – Medical Specialist. Early career was spent in family and primary care, where she developed a deep appreciation for personalized, compassionate patient care. After stepping away to contribute to her family business, she is thrilled to return to healthcare — her true passion.
Helping others has always been at the heart of what Kristin does. She is especially excited about the opportunity to support patients in achieving their health and wellness goals, boosting their confidence, and becoming the healthiest version of themselves.
Whether it’s weight loss support, DaVinci teeth whitening, or vitamin injections, Kristin looks forward to being a part of your journey toward feeling better and living well.
Outside of work, you will find Kristin spending time with family and friends, playing cards, watching Chiefs football, relaxing by the river, or in the kitchen cooking and baking.

Rachel Feeler, MSN, FNP-C
Meet Rachel, a dedicated and compassionate Nurse Practitioner with a mission to help people feel confident in their own skin. She earned her Master of Science in Nursing from Maryville University in 2017, following a Bachelor of Science in Nursing from Central Methodist University in 2013.
Inspired by a passion for aesthetics and natural beauty, Rachel expanded her expertise into cosmetic injectables, completing advanced training through the American Academy of Facial Esthetics in neuromodulators and dermal fillers. She brings a keen eye for detail and a gentle touch to every procedure, helping clients achieve facial harmony while maintaining a natural, confident look.
Rachel stays at the forefront of her field through ongoing education, believing that client safety and results depend on staying up to date with the latest in aesthetic science and aging physiology.
When she’s not working with patients, Rachel enjoys life on her family’s cattle and goat farm with her husband and daughters. You’ll often find them at the river, traveling, or dancing and singing together—her happy place is anywhere her girls are.
Rachel is honored to combine her medical expertise and artistic vision to help others look and feel their best, inside and out.

Cindy Butler, BSN, RN
Meet Cindy, BSN She brings over 32 years of diverse nursing experience, including roles in pre-hospital care, surgical orthopedics, emergency medicine, cardiac cath lab, ICU, and nursing management. She earned her Associate Degree in Nursing Science from Lincoln University in 1991 and later completed her Bachelor of Science in Nursing at Central Methodist University.
Cindy has a strong background in EMS and continues to serve her community through Ozark Central Ambulance and as a volunteer with the Belle Rural Fire Protection District. Her love for fast-paced environments and helping others has always driven her nursing career — and she proudly embraces her role as an “adrenaline junky!”
Outside of work, Cindy enjoys a rich family life. She’s been married to her husband, Frank, for 23 years. They share four children and seven grandchildren — and plenty of adventure, especially with Frank’s cattle farming. Her hobbies include spending time with family and friends, hunting, fishing, photography, and volunteering.
Those who know Cindy describe her as honest, hardworking, dedicated, and compassionate. She is excited and grateful for the opportunity to return to clinical nursing with Riverside Medical. Cindy looks forward to using her experience, skills, and personal health journey to help patients live healthier, fuller lives.

Ashlee Jenkins, BSN, RN
Meet Ashlee, a BSN with nearly 20 years of experience serving our community. Ashlee holds a Bachelor of Science in Nursing from Western Governors University and her nursing background spans from quality control, geriatric care, chronic and acute disease management with a specialized focus on infusions and injections.
Beyond her clinical expertise, Ashlee is a certified yoga instructor, passionate about holistic wellness, nutrition, and foundational lifestyle practices. She’s also a wife, mother, and community leader who has spent the last several years in healthcare leadership roles, bringing both skill and heart to her work.
Ashee’s journey from obesity to wellness has deeply shaped her perspective. She believes that every person deserves to feel well, no matter their age or circumstance. Her experience has taught her that true wellness integrates the mind, body, and spirit- and that when we feel well, we are more able to experience joy and create meaningful change in our lives and the world around us.
Ashlee’s approach is compassionate, supportive, and grounded in both professional knowledge and lived experience. Whether you are just starting your wellness journey or looking to enhance it, she’s here to help you build sustainable, nourishing habits that support your health and vitality.