Nurse Practitioner

What is a Nurse Practitioner?


One of our providers at Applegate Valley Family Medicine, LLC is a Board Certified Family Nurse Practitioner. What is a nurse practitioner and what can he or she do?

According to the American College of Nurse Practitioners, "A nurse practitioner (NP) is a registered nurse with advanced academic and clinical experience, which enables him or her to diagnose and manage most common and many chronic illnesses, either independently or as part of a health care team. A nurse practitioner provides some care previously offered only by physicians and in most states has the ability to prescribe medications. Working in collaboration with a physician, a nurse practitioner provides high-quality, cost-effective and individualized care for the life span of patient's special needs."

In the state of Oregon, Nurse Practitioners may practice independently and may do office procedures for which they have been trained. Nurse practitioners have complete prescribing privileges in Oregon. Under current law, however, nurse practitioners may not prescribe medical marijuana.

One of the benefits of the Applegate Valley Family Medicine office is that there are board certified family practice and internal medicine physicians available for consultation if the nurse practitioner needs additional assistance.in meeting a patient's needs.

Roger Fogg - Family Nurse Practitioner (FNP)


Family Nurse Practitioner, Roger Fogg is an incorrigible optimist. He moved to Southern Oregon in 1986, and after living in Williams for almost 19 years, he decided to pursue his dream of opening a clinic that would provide quality health care to the residents of the Applegate and Williams valley. Thus, Applegate Valley Family Medicine, LLC, has become a reality.

Roger has so many degrees he needs two large walls to hang them on. Before Roger became an RN, with an AA in nursing from San Bernardino Valley College, he graduated from California State in San Bernardino with a BA in Chemistry. He then went on to obtain an MPH (Master's in Public Health) from Loma Linda University. During these times, Roger also managed to work over 25 years in emergency rooms and over five years in Intensive Care Units. He recalls all these times as great fun!

Still not satisfied with all he had accomplished, Mr. Fogg enrolled in the Family Nurse Practitioner program at Western University of Health Sciences in Pomona, California and graduated with an MSN in 2003. Prior to establishing this medical clinic, Roger worked with Family Practitioner Dr. David Candelaria in Grants Pass.

When he first moved to Williams, Roger operated as a paramedic and volunteer fire fighter, and has risen to the rank of Assistant Fire Chief of the Williams Fire Department. He has completed numerous classes and courses in Fire Science. Roger married the girl of his dreams, Karen, and together they have raised two daughters who are now in college studying to become teachers. Roger says his wife Karen has not left him yet, but at times she has probably wanted to.

Nancy Anne Yie - Family Nurse Practitioner (FNP)


My husband and I relocated from the Seattle area 5 years ago because we wanted to experience a "real summer". The year we moved, Seattle had a mean summer temperature of 69 degrees and we decided that was definitely too cold! We have loved being in such a beautiful area since our move! While I am working, my husband, Gene, stays busy in his own business as an engineer; he has invented high pressure water-jet technology for cleaning and cutting applications.

Since living in Grants Pass, I have worked as a Home Health nurse, per diem Intensive Care nurse, and continue to teach basic nursing students at OHSU housed at SOU. Before coming here, I taught nursing at Pacific Lutheran University, worked as an Emergency Room supervisor, Clinic manager, and clinical specialist in the ICU. One of my most poignant experiences was that of being in the Peace Corps in Tanzania, East Africa. Experiencing life and health care in an underdeveloped country was very challenging but extremely rewarding! .

After teaching, I decided that I wanted another challenge and decided to start the FNP program at OHSU. I just can't seem to stop going to school! I am very excited at being a part of this wonderful practice! I believe that health care is a right for all people, and that as partners, we can work together to maximize your health. When I am not teaching or not at the clinic, I enjoy hiking, camping, attending concerts and especially competitive ballroom dancing.

Darlena Pike - Family Nurse Practitioner (FNP)


Darlena R Pike was born in raised in rural Ohio, before moving out to the West Coast. She has lived in Grants Pass since 1989 where she and her husband raised two children. During this time she advanced in her career, by starting nursing school at RCC to graduate at the top of her class from Western University of Health Sciences as a Family Nurse Practitioner in 2011. She has been practicing medicine and helping families ever since. While her specialty is family medicine, she enjoys women's health specifically.

Darlena has a healthy balance of work and family life. In her spare time, she enjoys spending time with her grandkids. In her words, "they are the light of my life." With her husband, Richard, they enjoy every possible moment they can with them to build and shape their character and their loving relationship. All you have to do is ask, and she will be more than happy to show you the most up to date photos of the little ones.