Our Team

Jana Winberg, MD



Family Medicine

Hospice and Palliative Care


I graduated from the University of New Mexico School of Medicine in Albuquerque, NM in 1999.  I moved to Beaumont, Texas and completed residency training at Christus St. Elizabeth Hospital in June of 2002.  I had the privilege of working with Dr. Joseph Finley for 2 years, in Beaumont as well as Lumberton.  In October 2004, I was finally able to realize a dream of working in a small community by opening a clinic in Kountze.  The small towns of Kountze and Silsbee have become my home, and I certainly feel like I am part of the community. 



Missy Rigmaiden, CFNP, RN

Family Nurse Practitioner


Missy started her career as a nurse, working in the hospital.  Soon she  moved into Home Health nursing and finally returned to school to pursue a degree as  a Nurse Practitioner.  She attended McNeese University.   She has lived in the Kountze area for years (her kids went to school here.)  She joined the practice in 2017 and is an integral part of our team.  She is married, and they have cats and dogs.   

Jessica Williams

Medical Assistant



Jessica joined the practice in May of 2009.  She has been an integral part of the office staff.  She has worked many positions, and is able to fill in wherever she is needed.  She currently sits at the front desk and brings a smile to everyones face.  She has an easy laugh and it is rare that she does not make the customers laugh with her.  She was born and raised in Kountze.  Prior to being at this office, she worked at the hospital as the vampire that woke you up at 4 am for your blood.  And if you have tattoos and are afraid of needles, don't bother to complain about it, because you will get no sympathy.  She is married with 2 step kids and 2 dogs.  

Shirley Brew

Certified Coder

Insurance Specialist & Biller


Shirley joined the practice for the 2nd time in 2011.  She has an important job in the office.  She is the one who deals with the insurance companies.  Because most of her job is on the computer, she has the opportunity to work from home.  When you call with a billing question, we may tell you we will have Shirley call you back.  She also answers telephones and sits at the front desk.  She has a husband and 2 children, but no pets.  She enjoys gardening, or at least eating what comes from the garden.

Landon Rigmaiden


Landon joined the practice in 2019.  He works as the referral and order specialist.  He has the opportunity to deal with the insurance companies to get prior approval for tests and to locate the facilities and specialists that are in network for the particular insurance.  His can be a frustrating job because sometimes there are no specialists in network in the area.  He has become very good at locating and contacting specialists out of our area, which then allows Missy and I to make informed decisions on who would be best for our patient. 

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