

Dr. Jeffrey Palmgren
As an experienced urologist, Dr. Jeffrey Palmgren, MD treats conditions of the urinary tract and male reproductive organs. Urology is a surgical specialty dealing with the diseases of the urinary tract (urethra, bladder, ureters, and kidneys). It also focuses on male reproductive organs including the prostate, scrotum, testes, penis, etc. Urologic health is crucial as anyone can have problems in these body areas. He has an understanding of internal medicine, gynecology, pediatrics, and other health care parts. Urologists are trained in diagnosing, detecting, and training disorders and diseases of this group. In males, the urologist also treats issues of testes, vas deferens, epididymis, seminal vesicles, penis, and prostate. Their responsibility involves managing conditions like prostate enlargement, urinary tract infection, stress incontinence, kidney stones, prostate cancer, bladder, cancer, etc.
When it comes to conditions like urinary tract cancer, urologists have to work alongside radiotherapists and oncologists. In some cases, they have to collaborate with nephrologists to treat kidney conditions, with endocrinologists for testing hormone disorders and conditions of the endocrine system, and with gynecologists for dealing with the reproductive system of women.
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Ryan Novak, MD, PharmD - Urologist
Born and raised in the renowned city of Austin, MN, the birthplace of Hormel Foods and the iconic SPAM, Dr. Ryan Novak's roots run deep within the Midwest.
Dr. Novak's academic journey began in Austin, attending the local community college, and culminating with the completion of his undergraduate studies at the prestigious University of Minnesota. His commitment to medical excellence was evident when he earned his PharmD degree from the same institution in 2004. Demonstrating an indomitable spirit of dedication, Dr. Novak managed to juggle his responsibilities as an outpatient pharmacist while pursuing his medical degree. In 2008, he achieved another significant milestone by earning his MD from the University of Minnesota.
Taking his passion and expertise eastward, Dr. Novak completed his urology residency training at the esteemed Ohio State University in 2013. His commitment to serving communities led him back to his beloved Minnesota, where he practiced as a dedicated solo urologist in Grand Rapids for a decade (2013-2023).
Beyond his professional accomplishments, Dr. Novak is a devoted husband and a proud father to three boys. Together with his wife, they have built a life and legacy rooted in both medical excellence and familial commitment.
Embracing a new adventure and chapter in his life, Dr. Novak has recently joined the Alii Health Center on the Big Island of Hawaii. He's thrilled to bring his vast experience and patient-centric approach to the Aloha State, as he begins this exciting new journey in the Pacific paradise. For those seeking expertise, compassion, and comprehensive urological care, Dr. Novak embodies a blend of Midwest values and top-tier medical training, now combined with the serene backdrop of Hawaii.

Jennifer Hashimoto, APRN-Rx, MSN, FNP-BC
Jennifer Hashimoto, APRN-Rx, MSN, FNP-BC, is a highly skilled and compassionate healthcare professional. She obtained her bachelor's degree in biology from the University of Hawai'i at Hilo and furthered her education with post-baccalaureate research training at the National Institute of Health, National Institute of Allergy and Infectious Diseases. In addition, Jennifer holds a bachelor's degree in nursing and a master's degree in nursing from the University of Hawai'i at Manoa.
Jennifer's nursing career commenced at Kona Community Hospital, where she honed her professional skills and demonstrated a commitment to patient care. After achieving her APRN-FNP, she continued her journey as a Native Hawaiian Health Scholar recipient to Lāna'i Community Health Center before joining the esteemed Primary Care team at Queen's North Hawai'i Community Hospital. Presently, Jennifer dedicates her expertise and passion for healthcare to the patients at Alii Health Centers Urology Department. Born and raised on the Big Island she is dedicated to serving rural communities and is a participant of the Nurse Coprs Loan Repayment program.
Favorite Quote: “ We are the creators of the life we desire” SD2Love

Lexie Pratt, PA-C
Lexie Pratt, PA-C, is a skilled Physician Assistant currently practicing in the Urology department at Ali’i Health Center. With a focus on serving rural and underserved communities, Lexie is dedicated to making high-quality healthcare accessible to all.
Born and raised in Colorado, Lexie's affinity for outdoor activities was nurtured by the state's diverse natural environment. This love for nature extended to her travels, and Lexie was fortunate to explore a variety of landscapes and cultures around the world. Among her travels, she developed a particular fondness for the Big Island of Hawaii, a place that she always dreamt of calling home. Today, she's thrilled to have the opportunity to work and live in such an incredible location. When Lexie isn't in the clinic, you can often find her hiking, snorkeling, or enjoying the vibrant local culture of the Big Island.
Lexie's journey into the healthcare field began at Northeastern University in Boston, MA, where she completed her Bachelor's degree in Health Science. Her passion for medicine continued to flourish, leading her to pursue further education at Midwestern University in Glendale, AZ. There, she earned her Master of Medical Science in Physician Assistant Studies, demonstrating exceptional understanding and skill in the field.
Throughout her education and training, Lexie demonstrated a natural ability to connect with patients and an unwavering commitment to patient-centered care. Her professional approach, coupled with a genuine passion for serving the community, quickly distinguished her as a valuable asset to any medical team.
Now at Ali’i Health Center, Lexie brings her dedication to the Urology department. As part of the Ali’i team, she continues her efforts to deliver top-tier healthcare in the heart of the Big Island's rural community. Lexie's commitment to her patients goes beyond providing immediate care; she believes in education and empowerment, enabling her patients to make informed decisions about their health.
With Lexie Pratt, PA-C, patients at Ali’i Health Center can expect comprehensive, compassionate, and personalized care. Her expertise in Urology, along with her passion for serving the underserved, ensures that each patient receives the quality care they deserve.