The Team

Urologist

Educational Background

  • B.S.: University of Nebraska-Lincoln, 2015
  • M.D.: University of Nebraska Medical Center, 2019
  • Internship: University of Nebraska Medical Center, 2019-2020
  • Urology Residency: University of Nebraska Medical Center, 2019-2024

Certification

  • Board Certified – In Certification Process

Entered Private Practice in 2024

Nephrology

Dr. Jeremy Pepin grew up in the Black Hills in South Dakota.  He received a Bachelor of Science in chemistry from the University of Wyoming. He worked as a chemist for 3 years with Sinclair Oil before attending medical school at the University of South Dakota. Dr. Pepin completed his internal medicine residency and nephrology fellowship at the University of Nebraska Medical Center. In fellowship, he specialized in both general and interventional nephrology. He is dual board certified in both Internal Medicine and Nephrology through the American Board of Internal Medicine.

Dr. Pepin holds national certifications in Hemodialysis Vascular Access and Peritoneal Dialysis Access with the American Society of Diagnostic and Interventional Nephrology. Dr. Pepin prides himself in providing individualized, patient-center care to the southwest Iowa region. He enjoys managing all aspects of kidney care including chronic kidney disease, electrolyte abnormalities, hypertension, dialysis, dialysis access placement/issues and transplant medicine.  He is a member of the American Society of Nephrology and the American Society of Diagnostic and Interventional Nephrology. Dr. Pepin has been selected to join the Nebraska Kidney Association Board of Directors this coming July. He also is a guest lecturer at the College of Saint Mary’s in Omaha, NE, where he teaches the nephrology portion of their physician’s assistant program. Dr. Pepin is married and has two daughters, and in their free time they enjoy traveling and cooking together.  His other hobbies include golf and wood working.

Orthopedic Specialist

Dr. Darren Keiser grew up in Nebraska, graduating from Millard North High School in Omaha. He is the oldest of nine children. He is an Eagle Scout. Dr. Darren Keiser is fluent in Spanish, since returning from a volunteer two-year mission in Guatemala.

He graduated Magna Cum Laude from Brigham Young University. He graduated with High Distinction from The University of Nebraska Medical Center, as one of the top three students in his medical school class. He was inducted into the Alpha Omega Alpha national medical honor society. He completed his orthopedic residency at the respected Campbell Clinic in Memphis, TN.

Dr. Darren Keiser practiced at the Methodist Physicians Clinic Orthopedics and Sports Medicine Center from 2003-to 2020. He currently practices at MD West One. He was given the “Outstanding Young Nebraskan” award by the Nebraska Jaycees in 2008. He has been the honored recipient of several “Methodist Meaning of Care” awards. He is a member of the Nebraska Orthopedic Society and is a Fellow of the American Academy of Orthopedic Surgeons. He is also a diplomat of the American Board of Orthopedic Surgery, passing his recertification exam in the top 93rd percentile of all practicing orthopedic surgeons. Dr. Keiser has dedicated much of his life to helping his patients optimally recover from their orthopedic ailments and works diligently to achieve happy outcomes.

Dr. Keiser is an active volunteer in church, charitable organizations, and the community. He loves spending time with his wife, six children, and grandchildren. He enjoys travel, the outdoors, music, and athletics.

Education:

Residency: University of Tennessee: The Campbell Clinic, Memphis, TN
Internship: Methodist Hospitals, Memphis, TN
Medical School: University of Nebraska College of Medicine, Omaha, NE
Undergraduate: Brigham Young University, Provo, UT

Orthopedic Surgeon and Hip & Knee Doctor

Dr. Otterberg graduated from the University of Michigan Medical School and completed his residency at the University of Nebraska Medical Center/Creighton Orthopedic Foundation. He completed a fellowship in hip and knee replacement from Massachusetts General Hospital and Harvard Medical School in Boston, Massachusetts. He has served as Chief of Staff for Lakeside Hospital in 2015-2016 and 2020. Dr. Otterberg has been on the board of the Mid-America Orthopedic Association since 2009 and served as its president from 2022-2023. He is also active and serves on the board of the Nebraska Chapter of the Arthritis Foundation.

EDUCATION:

Fellowship: Harvard Medical School Massachusetts General Hospital, William H. Harris, M.D. Boston, MA
Residency: Creighton / Nebraska Health Foundation Omaha, NE
Internship: University of Michigan Medical Center Ann Arbor, MI
Medical School: University of Michigan Medical School, Ann Arbor, MI
Undergraduate: Albion College, Albion, MI

Behavioral Health Nurse Practitioner

1 Jack Foster Drive

Shenandoah, IA 51601

712-246-7400

Call us today!

Clinic Hours

Monday-Friday: 7-5:00pm

Walk-In Clinic Hours

Monday-Friday: 7-6:30pm Saturday-Sunday: 9-12:30pm