Family Medicine

It can be challenging to know how to navigate your health. Our primary care providers at the Santee Health Center are here to help answer your questions, learn what your hurdles are and help you reach your goals. Whether it’s seeing someone for your annual check-up, taking a peek at that pesky rash on your elbow, or learning how to get ready for your first colonoscopy–these are considered your primary health needs. And, a primary care provider can help you meet those needs, guiding you through the big and little things. 

We specialize in family medicine ranging from infancy to elder care. Our staff is highly trained to not only treat your acute needs and triage emergency life-saving intervention, but also to treat and manage your chronic conditions.

Beginning a relationship with a primary care provider can help you take the worry out of not knowing where – or who – to start with. Your primary care provider will:

No matter your needs, their focus is the same

Answering your questions, learning what your hurdles are and helping you reach your goals.

Services our Primary Care Providers offer:

Our primary care clinic is currently staffed by:

Dr. Scott Hiltunen, MD Medical Director

Experience in Emergency Medicine, Internal Medicine, and Hospital Medicine

Education- University of South Dakota School of Medicine, Vermillion, Medical School

Residency- LDS Hospital/University of Utah, Salt Lake City, Internal Medicine

Certifications- American Board of Internal Medicine

Phil Jaquith PA-C, MPAS Physician Assistant


Masters of Physician Assistant Studies (emphasis in Family Medicine)- University of Nebraska Medical Center

Bachelor of Science Physician Assistant Studies- University of South Dakota

Bachelor of Science Biology- University of South Dakota


Captain in the United States Public Health Service

Chief Clinical Director Santee Health and Wellness Center

Public Health Director Santee Sioux Nation


Board Certified- National Commission of Certification of Physician Assistants

Pediatric Advanced Life Support, Advanced Cardiac Life Support, Advanced Trauma Life Support, DOT Certified Medical Examiner, DEA Waiver to provide Medication Assisted Treatment for opioid dependence, Diabetic Wound Care Certification

Nicole Higgins, PA-C Physician Assistant


Masters of Science- University of South Dakota

Bachelor of Science- Wayne State College


Board Certified Physician Assistant

Advanced Cardiac Life Support

Sunny Nagengast, RN, MSN, APRN Advanced Practice Registered Nurse- Family Nurse Practitioner


Family Nurse Practitioner Certification – University of Nebraska Medical Center

Masters of Science in Nursing – Maternal Child Nursing- University of Nebraska Medical Center

Bachelors of Science in Nursing- University of Nebraska Medical Center


American Academy of Nurse Practitioners- Family Practice Nurse Practitioner

Advanced Cardiac Life Support

The clinic is part of the Santee Health & Wellness Center, conveniently located in the village of Santee at 110 S. Visiting Eagle St., Niobrara, Nebraska.