Advanced Practice Management began in 2006 as a consulting firm for physicians to perform practice start-ups and project management/strategic planning.  Since that time, APM has evolved into a complete collection of management and medical billing services with a common mission:  to provide you with a quality, trustworthy service so you can focus on patient care.  With our full line of services, you can opt to enlist in one or all of them based upon your needs.  Our ability to understand the big picture translates to your benefit in achieving the greatest success possible.

Janet Papst, Owner/Executive Director, has over 20 years of management experience and over 18 years in the healthcare industry. She has a Bachelor of Science degree in Business Administration from Central Michigan University. Her key strengths involve budgeting, strategic planning, cash flow management, and data analysis. She is an active volunteer in numerous organizations within the community.

Nancy Klein, CPC, Medical Billing Director, has over 30 years of medical billing experience.  She is a Certified Professional Coder ® and is a member of the American Academy of Professional Coders ® as well as the Michigan Medical Billers Association ©.  Her key strengths are maximizing reimbursement, compliance coding, chart audits and training in ICD-10, CPT and E&M Coding.


Julie LaFramboise

Office Manager

Gina Howell

Accounting and Credentialing

Karen Magalski

Administrative Assistant

Christal Campbell

Collections Coordinator

Jennifer Schumacher

Medical Biller

Tammi Richard

Medical Biller

Pam Root

Medical Biller

Lori Rivette

Medical Biller

Sheila Kazmerski

CPC Medical Biller

Jennifer Hughes

Medical Biller

Stefani Skidmore

Medical Biller

Mary Luptowski


Laurie Nuffer