Krystyl Kulbeck, PA-C

Family Medicine · Advanced Diabetes Management · Functional Health

Krystyl is a Physician Assistant who graduated with her Master of Science in Biomedical Sciences Physician Assistant from the University of Toledo. She began her practice at The Toledo Hospital as a surgical PA before returning to her home state of Montana. Having grown up in Twin Bridges, she was no stranger to small-town life. After starting at BSMC, she married a local farmer and together they have two boys. She furthered her education in 2022, becoming board certified in Advanced Diabetes Management, and is now certified in Functional Health — expanding BSMC's ability to address the root causes of chronic conditions through personalized care.

At BSMC since 2013

Amber Groves, PA-C

Family Medicine · Internal Medicine · Endocrinology

Amber has been a PA since 2005, earning her education from Lock Haven Pennsylvania (now Commonwealth University). She has 7 years of experience in Internal Medicine, 7 years in Endocrinology, and over 6 years in Rural Health Family Medicine. She loves taking the time to listen to her patients and supporting them in the way they choose to approach their healthcare. She is married to her husband of 25 years and together they have three adult children.

At BSMC since 2018

Heath Horton, MSN, FNP, ENP, CEN

Family Practice · Emergency Medicine

Heath's journey in medicine began in EMS in Arkansas, where he served as an EMT/Paramedic for 14 years before transitioning to nursing. He earned his LPN, then RN, and thrived in ER/ICU and Rapid Response settings before pursuing his MSN in Family Practice. His passion for emergency care led him to complete an ER residency, certifying him as an Emergency Nurse Practitioner. Whether addressing chronic conditions or acute emergencies, Heath brings compassion, expertise, and a welcoming demeanor to every patient encounter.

At BSMC since 2023

Dr. Daniel Davis, MD, FACEP

Medical Director · Emergency Medicine

Dr. Davis is a Fellow of the American College of Emergency Physicians (FACEP) with extensive experience in emergency medicine. He has spent a majority of his career in California before working with Logan Health along the Hi-Line, including serving as Medical Director in Chester. His passion is bringing cutting-edge science and new approaches to clinical care in rural areas.

At BSMC since 2024

Dr. Patrick Kadrmas, DC

Chiropractic Care · Visiting Provider

Dr. Kadrmas provides integrated chiropractic services at Big Sandy Medical Center, typically on Thursdays and Fridays. His practice complements our primary care and physical therapy programs with a whole-person approach to musculoskeletal health and pain management. Medicare accepted. Same-day appointments available, appointments preferred.

At BSMC since 2022

Dr. Derik Powell, DDS

Dentistry · Highwood Dental Studio · Visiting Provider

Dr. Powell is originally from Great Falls and took over the practice from Dr. Buer. He and his wife love Montana's outdoors — hunting, fishing, camping, backpacking, and whitewater rafting. Dr. Powell sees patients at Big Sandy Medical Center every other Thursday (9am–5pm) and Friday (8am–3pm), bringing quality dental care to the community without the drive to Great Falls. When Dr. Powell is not in Big Sandy, patients are welcome at the Highwood Dental Studio practice in Great Falls.

To schedule: (406) 761-1837

Carissa Bergren

Interim Chief Executive Officer

Carissa brings over 20 years of experience leading enterprise operations, strategic planning, and technology initiatives across healthcare organizations. A Montana native, she has a track record of driving organizational performance and building sustainable growth strategies. Before stepping into the Interim CEO role, Carissa served on the BSMC Board of Directors. She and her partner operate Flocking Good Farms in the prairies near Big Sandy, where they raise pasture-raised poultry.

At BSMC since 2025

Amber Terry

Director of Revenue & Finance

Amber brings extensive knowledge of the medical revenue cycle through her work with the Rocky Boy Health Board and Tribal Health Department over the last 16 years. Previously a member of the BSMC Board of Directors, Amber has transitioned into a staff leadership role overseeing finance and revenue operations for the facility.

At BSMC since 2023

Ashley Jacobi, RN, BSN

Director of Nursing

Ashley started at BSMC in her junior year of high school in the kitchen, then became a CNA and continued working through college. She graduated from Big Sandy High School in 2012, earned her associate's degree from Montana Tech in 2016, and her bachelor's in 2018. Ashley spends most of her free time with her two kids, Oakley and Colt, and her husband Jarret.

At BSMC since 2016

Christopher O'Dell

Director of Support Services

Chris moved to Big Sandy from Nebraska with his family in 2021. While in Nebraska, he worked for the DOT for 11 years, before transferring to the Montana DOT for almost 2 years. In his free time he enjoys home improvement, motorcycles, watching movies, and camping with his four children.

At BSMC since 2022

Suzy Labuda, CMA

Clinic Manager

Suzy was raised in Big Sandy and graduated from Big Sandy High School in 2010. She attended GFC-MSU and in 2014 graduated with her Associates of Applied Science in Medical Assisting and her Associates of Science. She became certified with the American Association of Medical Assistants (AAMA). She is married to her husband Ryne and they have two girls, Avery and Emery, and a son, Trey.

At BSMC since 2018

Jessica Ophus, RN, BSN, CLC

Education Coordinator

Jessica has been a nurse for over 10 years, earning her BSN at the University of Mary in Bismarck, ND in 2012. She began her role as Education Coordinator and Marketing Director in 2022. In August 2023, she became a Certified Lactation Counselor offering services locally and to surrounding communities.

At BSMC since 2018

Dusty Allderdice

Materials Management · Medical Records · Emergency Preparedness

Dusty wears many hats at BSMC. A lifelong Loma/Big Sandy area resident, she started at the clinic in 2010, became an LPT for radiology, and has grown into her current roles while continuing to provide X-rays. She became an EMT in 2015 and volunteers with the Big Sandy Ambulance, where she is now the Service Director.

At BSMC since 2010

Brittany Sherburn

Wellness Center & Business Office Manager

Born and raised in Big Sandy, Brittany ventured away briefly before realizing the importance of family ties and returning to the community. After earning her bachelor's degree in Psychology, she began her career as a Wraparound Facilitator, then joined BSMC as the Accounts Payable Clerk and has since transitioned into her current role.

At BSMC since 2022

Lisa Sipler

Activities Coordinator

Lisa has been a member of the Big Sandy community for over twenty-five years. Starting as a CNA at age eighteen, she later became the Activity Director. Lisa finds so much joy in her job and absolutely adores the memories she continues to share with the residents. Once referred to as the cruise director of BSMC, she says she doesn't plan on jumping this ship anytime soon.

At BSMC since 1997

Sierra Grimwood

Dietary Manager

Sierra was born in Montana but spent the majority of her life in Tacoma, Washington. In the spring of 2022, she moved back to the area to support her aging grandfather and have a fresh start in a smaller community where her two young boys could grow up knowing the mountains. She enjoys spending time with her boys, mountain air, and volleyball and basketball.

At BSMC since 2021

Lisa Genereoux, RN, BSN

Social Services Designee

After graduating from Big Sandy High School, Lisa attended Montana State University, earning her BSN in 1989. Her career brought her to the Social Services department at BSMC in 2019. She enjoys traveling and spending time with her husband, Darin, and their three children.

At BSMC since 2019

Anna Bold

Chairwoman · Since 2019

A 4th-generation Montanan who lives and works on the family's farm and ranch northwest of Big Sandy. Anna holds a B.S. from Montana State University and received the MSU Septemviri Award. She has served on the Big Sandy School Board, as Booster Club President, and sits on several state agricultural boards.

Ann Quinn

Secretary · Since 2019

Ann has lived in Big Sandy with her family since the late 1970s. She has been deeply involved in the community through PTA, school volunteering, playing piano for high school musical performances for 32 years, and serving on the committees for the town library and the new swimming pool.

Matt Gullickson

Board Member · Since 2025

Bio coming soon.

Open Board Seat

Community Member · To Be Filled

We have two open seats on the BSMC Board. Board members serve as volunteer stewards of the facility's mission, finances, and strategic direction. Reach out to any current board member to learn more.

Open Board Seat

Community Member · To Be Filled

Interested in helping shape the future of healthcare in Big Sandy? Board service is a meaningful way to give back to the community. Contact the BSMC office or any current board member to express your interest.