Care First Clinic - Nacogdoches Women's Health Clinic

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Care First Clinic - Nacogdoches
Women's Health Clinic

1108 South St., Nacogdoches, Texas, 75964
Phone: 936-560-3097

Women's Health Clinic provides a unique care program utilizing certified nurse midwives and womens' health nurse practitioners to provide obstetrics, prenatal care, postpartum services, gynecology and family planning services.

Care Team:
A qualified and dedicated care team staffs Nacogdoches Memorial Health’s Care First Clinic.

Dr. Kim Schaus is the medical director of the Women's Health Clinic and provides high risk consultation on site.

Our women's health team includes nurse practitioners Keli Barrios, APRN, WHNP, Crystal Talavera, APRN, WHNP, and midwives Debra McCarthy, APRN, CNM, Diana Selvey, APRN, CNM, Melanie Wilson, APRN, CNM, Rinajoyce Abril-Walker, APRN, CNM, IBCLC, and Kortni Arreguin, APRN, CNM.

Translation services are available for all patients.

Care First Clinic - Nacogdoches accepts several forms of payment. All private insurance, most major credit cards, cash and personal checks are accepted, as well as Medicaid and Medicare. Some public assistance payment programs may even be available through Nacogdoches Memorial Hospital.

Hours of Operation for Care First Clinic Women's Health 

Monday - Thursday: 8 am - Noon, 1 - 5 pm

Friday: 8 am - Noon

Meet Our Midwives

Rinajoyce (“Rina”) Abril-Walker obtained her Bachelor of Science in Nursing from Texas A&M University – Corpus Christi and Master of Science in Nursing from Frontier Nursing University specializing in Midwifery. She is also an International Board Certified Lactation Consultant. She finds great pleasure and honor in lovingly helping babies to be born into the arms of their parents. Her primary focus is assisting the women she serves in having an informed, supported and empowered childbirth that includes shared decision-making, emotional support, fitness, nutritional counseling and community. She has served as a Certified Nurse Midwife in both out of hospital settings (home and birth center) as well as in hospital settings. In her free time, she enjoys spending time with her husband and their two young children. Rina delivered both her children into the hands of midwives after a beautiful, unmedicated water birth at a freestanding birth center in June 2014 & July 2015. Rina believes in the God given ability for a woman to birth babies naturally, which she has witnessed countless times supporting women during labor. She is always amazed by the strength of women and the miracle of childbirth.



Diana Selvey is the manager of the Nurse Midwifery Service and has been a practicing midwife since 1983. She graduated with honors from Texas Women’s University, with a BS in Nursing. Her Master of Science with a focus on midwifery was completed at the University of Utah, where she graduated with honors. Ms Selvey provides OB care through the Care First Women’s Health clinic, and attends births at Nacogdoches Memorial Hospital.

Melanie Wilson obtained her Bachelor of Science in Nursing from Oklahoma Baptist University and Master of Science in Nursing from Frontier Nursing University.  For Melanie, becoming a Certified Nurse Midwife has been far more than a career path, this has been a life-long passion. She has known that she wanted to deliver babies since watching The Miracle of Life in seventh grade science class. Since beginning her career at Nacogdoches Memorial Hospital she has had the privilege and joy of helping bring over 500 babies into the world. In her free time she enjoys spending time with her husband and two young sons, reading, and learning Spanish.

The Women's and Children's Center
One of the most family-centered, comfortable labor and delivery programs in East Texas
© Nacogdoches Memorial Health 2021