Advanced Practice Providers

Physician Associates & Nurse Practitioners


Maddie Fugate Physician Associate

Maddie Fugate, PA-C

Maddie Fugate went to the University of Central Missouri for her undergraduate degree in Health Sciences with an emphasis in Community Health. She received her Masters of Physician Assistant Studies from Wichita State University.

Maddie loves helping motivate patients to achieve their goals for recovery.  She is also passionate about providing excellent patient education.

Maddie works alongside Dr. Matt Cullen in surgery and clinic.

Natalie Ketzner, Nurse Practitioner at Sano

Natalie Ketzner, APRN-BC

Natalie Ketzner graduated from Missouri Southern State University in 2012 with a Bachelor’s in Nursing. She obtained a Masters of Science in Nursing for Nurse Practitioner from Graceland University and is credentialed through ANCC.

Natalie works alongside Dr. Eckland in clinic and surgery.

Brenda Cohu NP

Brenda Cohu, APRN

Brenda Cohu has a broad history of experience in orthopedics, neurology, neurosurgery, oncology, general surgery, bariatric surgery, rehabilitation, and pain management.  She is board certified by the American Academy of Nurse Practitioners and has 11 years total in the healthcare industry. She went to Rockhurst University/Research College of Nursing to obtain her Bachelor of Nursing for her undergraduate degree in 2013. She went on to obtain her Master of Nursing in Family Nurse Practitioner in 2018

Brenda works on our spine team, supporting Dr. de Vere both in clinic and surgery.

jessica cullen pa

Jessica Cullen, PA-C

​Jessica went to Kansas State for her undergraduate degree in Kinesiology. She continued her education at Wichita State, where she got her Masters of Physician Assistant Studies.

Jessica works alongside Dr. Witte in clinic and sugery.

sano pa sarah

Sarah Comegys, PA-C

Sarah Comegys went to Southwest Missouri State University for her undergraduate degree in Sports Medicine and Athletic Training. She received her Master’s of Physician Assistant Studies from Missouri State University.

Sarah loves patient education. She is a big proponent of patients being an advocate for themselves and taking an active role in their healthcare. 

Sarah works alongside Dr. Matt Daggett.

meghan koch NP profile picture for bio page

Meghan Koch, APRN

Meghan Koch received her Masters of Science in Nursing at the University of Kansas Medical Center in 2009 as a Family Nurse Practitioner. She is board-certified through the American Nurses Credentialing Center and brings broad experience in family practice, retail healthcare, emergency medicine, and orthopedics. 

Meghan works alongside Dr. Michael Dempewolf.

Carly Payne, PA at Sano Orthopedics

Carly M. Payne, PA-C

Carly Payne received her Bachelor’s in Biology from Missouri Southern State University in 2013. At Missouri Southern, she played 4 years of collegiate soccer. With an obvious passion for orthopedics and healing injuries, she went on to PA school at Oklahoma City University.

Carly is a part of our Spine team, working alongside Dr. Stephanie de Vere in both clinic and surgery.

Quality Care

Orthopedic Physician Assistants (PAs or PA-C for those with certifications) and Nurse Practitioners are essential to our practice and patient care.  Sometimes called Mid-Levels, Physician Extenders, or Advanced Practice Providers, these team members act under the supervision of our doctors.

Sano Advanced Practice Providers have a focus and passion for orthopedics.  They are typically paired with one of our orthopedic surgeons to help manage consistency of care. They work either in clinic and/or surgery to provide quality care for our patients.


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