NIM Medical (Nolen Independent Management) is a clinical operations and education company that specializes in niche markets, specifically rural, remote, and austere medicine, clinical education, and technical rescue.
NIM provides turnkey integration for clients with services and resources that are adaptable to unfamiliar and unconventional settings. Solutions include administrative management, clinical operations and staffing, logistics and supply chain, public health, technical rescue, ambulance, and mobile medical units.
“We build our projects like “Lego” pieces, with adaptable and dynamic services that cater to the needs of the unconventional”.
Our Partners & Clients






Meet the Team
Sara Nolen
Chief Executive and Logistics Officer
Sara Nolen is an owner and Chief Executive and Logistics Officer of NIM Medical. Her primary focus is logistics management, operations, and business development.
Sara brings a unique background, grounded in public health, grant writing, program development, and entrepreneurial business. Sara has a Master’s Degree in Public Health, has taught and directed academic programs, been a graduate advisor and has been involved in several business startups and software development projects. Her specific passions often include community health, health promotion, and supporting wilderness medicine operations.
Sara discovered wildland fire as a volunteer firefighter and first responder and is an accomplished climber, cyclist, and runner. In her spare time, Sara mountain bikes, snowboards, and enjoys frequent trail runs and hikes with her husky pups, Luna and Sol.


Nicholas Nolen
Chief Operations Officer
Nick is an owner and Chief Operations Officer of NIM Medical. His primary focus within the company is clinical development, contract development, and field operations.
Nick has a bachelor’s degree in English, a Master’s in Leadership Management, and an Associate’s in Paramedicine. His professional focus has included wilderness medicine, operational development, quality assurance, and pre-hospital medicine.
Clinically, Nick has two decades of medical experience ranging from wilderness environments, to busy urban systems, to critical care flight, to tactical teams. Operationally, Nick has built public health response projects, air medical projects, wildland fire teams, has worked in hospital management, and has a long history and passion for teaching pre-hospital medicine, specifically in austere environments.
Key Personnel
Rob Willits
Supervisor – Education & Wellness
Rob works with NIM Medical as a supervisor, with a specific focus on education operations and physical & mental health and wellness. Rob works developing and overseeing the Peer Support program for NIM Medical and has endless hours developing curriculum, teaching, and expanding NIM’s clinical education programs.
Rob is a Paramedic and former Fire Chief, Battalion Chief, and Fire Prevention Chief, and has been in emergency services for 30 years. His industry expertise is deep, specializing in EMS, Structure Fire, Wildland Fire, HazMat Response, and Technical Rescue.
Rob has a specific passion for education, mental health, and wildland fire. Rob has a bachelor’s degree in psychology and enjoys spending time with his family and woodworking.


Brian Hoffower
Supervisor – Clinical Operations
Brian works in the field in various roles, helps develop and supervise clinical operations, and acts as an FTO and instructor. His experience is drawn from a lifetime studying and practicing medicine. As a paramedic, Brian’s expertise has included critical care flight, neonatal care, helicopter rescue, and tactical EMS. Brian is calm, insightful, and brings depth to the NIM Medical team.
Brian has a specific passion for teaching and inspiring others. Personally, he enjoys carpentry, farm life, playing drums, and is generally considered a NIM Medical team Jedi Master.
Jarrod Scrimshire
Supervisor – Clinical Operations
Jarrod works with NIM as a supervisor, educator, and FTO. He brings an exhaustive 20 year experience that ranges from EMS management, to tactical medicine, to critical care flight. Jarrod is a Rescue3 RRT and REM Medic. Additionally, Jarrod has a broad background in wildland fire including hand crews, engine crew, and helitack.
In all of his areas of expertise, Jarrod is calm, knowledgeable and proficient and has a purposeful passion for leading others. Outside of professional life, Jarrod enjoys backcountry archery hunting, kayak fishing, and golfing.


William Buckman
Supervisor – Rescue Operations
Will has a specific interest and expertise in rope rescue, S&R, and austere medicine and has a primary role developing and supervising NIM Medical’s Rescue Operations. Will is a Rescue3 International Rescue Technician and Instructor and has immense experience leading technical rescues and rescue teams.
He has worked extensively with the National Park Service as a climbing ranger, backcountry ranger, vertical rescue tech, and wilderness EMT and has spent time in Yosemite, Zion, and Joshua Tree, and has over 300 summits of Devil’s Tower.
Will has a bachelor’s degree in English / Communication and graduated from the National Search and Rescue Academy.
Team Leads

Tom Tolman-Stickney
Team Lead – REM
Tom works with NIM as a Wildland Fire EMT, REM Team Lead, and Rope Rescue Instructor. Tom brings significant experience, drawing from a background in education, climbing, travel, and medicine.
Tom is a Rescue3 International Rope Tech and Instructor, has a bachelor’s degree in Outdoor Education, and has led backcountry guiding in Colorado, Wyoming, Utah and Alaska. Tom has spent time climbing in Europe, South America, and throughout the US. Uniquely, Tom has also worked repairing windows on cruise ships, taking him around the world.
When Tom is not playing in the wilderness, he’s testing out his wife’s homemade ice cream recipes, working as an EMT on the Cheyenne River Reservation, or giving his dogs jus the right amount of belly rubs.
Ryan Lazzeri
Team Lead – REM
Ryan works with NIM Medical as a REM Team Lead and Technical Rescue Instructor. Ryan is Rescue3 International accredited RRT and Instructor and brings a wide background of EMS and rescue expertise to the NIM Team.
Ryan has been an EMS provider since 2012 and has a decade of S&R and tech rescue knowledge as a NPS Climbing Ranger at Mount Rainier and RMNP. In addition to his skills in helicopter rescue as a short haul and hoist technician, Ryan brings hand crew and NPS Helitack wildland fire experience.
Ryan also has over a decade of ski patrol and avalanche forecasting experience, enjoys ski mountaineering, climbing, rafting, and biking. Ryan rounds out his experience with a B.A in Economics & Political Philosophy.

Medical Director

Dr. Deanna Lassegard
Medical Director
Deanna works with NIM Medical as Physician Medical Director and Clinical Advisor. Her expertise is in emergency and prehospital medicine and has a specific interest in wilderness and austere environments.
Deanna has a uniquely broad understanding of emergency medicine. She has been an EMT, RN, remains certified as a Paramedic, and is currently a practicing Emergency Medicine Physician. Deanna has a deep experience working with underserved populations, specifically in rural and remote areas.
Additionally, Deanna works with her local EMS service as a medical director and advisor. Deanna enjoys her garden, baking, biking, skiing and her family.

