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Greater Regional Health
Pediatric Acute-Onset Neuropsychiatric Syndrome Clinic

Welcome to the Pediatric Acute-Onset Neuropsychiatric Syndrome Clinic (PANS) patient and parent support page. Please use this page to ask questions, find additional information, and resources.

Meet the Team

The PANS Clinic at Greater Regional is comprised of experts right here in Creston, Iowa with additional support from medical professionals in Des Moines, Iowa. Our goal as a team is to provide accurate diagnoses with proper evidence-based treatment and close follow up to support the whole family. In addition to following evidence-based PANS research, such as that from Stanford University, Dr. Standing is also board certified in integrative medicine and offers evidence-based support for diet and lifestyle changes.

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Cheri Standing, MD

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Brooke Martin, DNP


Sara Reichart, ARNP,

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Jessi Ehrsam, RN
PANS Nurse

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Rachelle White,
Patient Scheduler

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Shelby Jilek, LPN

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Christy Smith, LPN

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Stephen Gutu, MD

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Kyla Ingram, DNP, ARNP,

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Vuong Nayima, DO

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Loretta Umbenhower, RN
Infusion Nurse

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Cody Weaver, RN
Infusion Nurse

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Krista Johnson, RN
Infusion Nurse

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Mackenzie Eddy, RN
Infusion Nurse

Contact Us

Primary Care Clinic

Second Floor Medical Arts Plaza

1700 W. Townline St

Creston, IA 50801

(641) 782-3925



8 a.m.- 4:30p.m.

Question for a team member?

Do you have questions for a member of our PANS clinic? Ask below!

Thanks for submitting!

Helpful Resources

Find a list of additional resources provided by our PANS clinic team below.



  • Eating You Alive

  • Forks over Knives

  • Disease Reversal Hope


  • Main Street Vegan Podcast

  • The Exam Room

  • Veggie Doctor Radio

  • Plant Strong

PDF Documents


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