Book your initial consultation today
Meet Our Team
Amy Bratteli, MD (she/her)
Dr. Amy Bratteli is a board-certified family physician, practicing in the Grand Valley since 2004. She practiced the full scope of family medicine from 2000-2020. She moved to Grand Junction in 2004 and practiced full spectrum family medicine with Primary Care Partners, Inc until the end of 2020. Prior to that she practiced in Manitowoc, Wisconsin for 4 years.
Dr. Bratteli received her medical degree from the University of North Dakota School of Medicine and Health Sciences and completed her family medicine residency in Grand Blanc, Michigan. Prior to medical school, she worked in a histocompatibility lab in Bismarck, North Dakota, working on tissue typing for kidney transplants. Dr. Bratteli received her undergraduate degree in biology and chemistry at the University of Mary in Bismarck, North Dakota.
Dr. Bratteli developed a passion for hormone replacement therapy in 2010 and received training and certification in 2013 from Worldlink Medical, under the instruction of Dr. Neal Rouzier. She is also a WPATH GEI SOC8 Certified Member, providing gender-affirming HRT.
Outside of medicine, Dr. Bratteli is a wife, mother of two children, dog lover, and former homeschool mom. She enjoys spending time with her family and dogs, camping, reading, and learning new things. You may see her dogs in the office from time to time. Bailey (below) is there most often.
Nicole Wilke, ANP (she/her)
Nicole (Nikki) graduated from University of Colorado at Colorado Springs (UCCS) in 2007 with her RN-BSN. She worked at Memorial Hospital in Colorado Springs from 2007-2010 working inpatient high-risk OB and women’s health. After moving to Denver in 2010, she worked at The Medical Center of Aurora in Cardiac. She graduated from UCCS in 2012 with her MSN, focus in Adult Nurse Practitioner. She returned home to the Grand Valley in 2012 where she started working for Primary Care Partners as an Adult Nurse Practitioner, partnering with Dr. Amy Bratteli.
In 2019 her desire to bring a more holistic approach to health care led her to pursue additional training in Nurse Coaching, where she developed skills of a Health Coach built upon the foundation of her training as a Registered Nurse and Nurse Practitioner. This gave her the avenue to meet patients and clients in a different capacity than their primary care provider and really help those clients focus on defining what health means to them and achieving the goals they created. She remained in primary care through December 2020 when her priorities changed due to her growing family. Since then, her focus is working part time in Bio-Identical Hormones and Transformational Nurse Coaching.
In her spare time, Nikki enjoys spending time with her husband and two sons, training for triathlons, being outside and up on the Mesa.
lan Stevens, Office Manager (he/him)
Born and raised in Littleton, Colorado, lan has been passionate about healthcare from a young age. He began his journey working at Craig Hospital while still in high school, and his dedication to the field has only grown since. In 2003, Ian earned his healthcare degree, which has led him to work in various areas of medicine, including pediatrics, general medicine, and ophthalmology.
As the Office Manager at Harmony HRT, lan bring years of experience in both patient care and medical office management. His role allows him to combine his love for helping others with his organizational skills, ensuring a smooth and efficient experience for both patients and staff.
Outside of work, lan enjoys hiking, exploring architecture and design, spending time with his spouse and three dogs. As someone who truly believes in Harmony HRT’s mission, he is proud to contribute to a team that prioritizes improving the health and well-being of our patients.
Ezra Bell, RMA | RPT (he/him)
Ezra joined Harmony HRT in March 2025 and brings years of experience as a dedicated and compassionate Medical Assistant. His focus is on providing exceptional patient care, offering support, and empowering individuals to better understand their bodies so they can feel their best at every stage of life. As a transgender man, Ezra offers a unique and empathetic perspective, helping patients navigate their own healthcare journeys with confidence and understanding. Outside of work, Ezra enjoys spending time outdoors, hiking with his dog Zuko, and expressing his creativity through art.
Elena Rivera-Koehler, Clinical Support (she/her)
Elena joined Harmony HRT in December 2024 as part of the clinical support staff. Originally from Cheyenne, WY, she has called the Grand Valley home for nearly 16 years. Elena graduated from Colorado Mesa University in 2021 with a degree in Social and Behavioral Sciences and brings several years of experience in patient care and medical office work. She is passionate about working directly with patients and building genuine human connections. Outside of work, Elena enjoys traveling, spending time outdoors, and pursuing photography as a side business.
Madison Glass, Receptionist (she/her)
Madison joined Harmony HRT in March 2025 as our welcoming and compassionate receptionist. With a background as a pharmacy technician for four years, she brings a deep passion for patient advocacy and ensuring everyone receives the support and care they deserve. Growing up in Loveland, Colorado, she made Grand Junction her home in 2019. As a proud member of the LGBTQ+ community and a dedicated ally, Madison strives to create a safe and welcoming space for all patients. She is an excellent listener and easy to talk to, helping new patients feel comfortable and supported from the moment they walk through the door. Outside of work, Madison is a creative spirit, expressing herself through writing and art. A music lover, devoted wife, and cat mom, she finds joy in creating and connecting with others.
Jessie Thibault, Administrative Assistant (she/her)
Jessie grew up in Liberty, Utah but has lived in Loma, CO for the last 14 years. She has been married for over 20 years and has two teenagers, along with horses, chickens, dogs and cats. She has been known to supply fresh eggs to anyone who wants them.
Jessie was a CNA for over 10 years. She became a part of Harmony HRT in August 2023. She was new to HRT and now is on HRT herself.
She likes learning new things, crafting, scrapbooking, camping, and going to movies.