Nurse Practitioner Residency Program

Applications open in December
for our 2022-2023 cohort

Our Mission: Training FNP & ARNP

CHAS Health’s NPRP mission is to advance the education of newly graduated Family Nurse Practitioners resulting in increased professional competency, confidence, and understanding of the unique population within the community health center setting. By providing an excellent educational experience, CHAS Health will advance its mission to expand access to quality health care services while retaining exceptional primary health care providers who reflect the diverse population that we serve.

Our Clinics & Locations

CHAS Health is an innovative non-profit organization and the inland Northwest’s largest community health center in Spokane, Washington. We have 12 primary care clinics, 8 dental clinics, and two Urgent Care locations.

Last year we served over 96,000 patients. Visit our medical, dental and urgent care locations page to learn more.

Our NP Residency Program

Established in 2017, the CHAS Health Nurse Practitioner Residency Program is a 13-month educational program that combines clinical practicum experiences, specialty rotations and didactic education to provide a well-rounded experience for newly graduated Nurse Practitioners. Our program offers an opportunity to work alongside experienced health care providers from a variety of disciplines including nursing, medicine, pharmacy and behavioral health.

Program Structure

  • 3 applicants selected yearly
  • 13 months starting in early September
  • 3 days/wk working with experienced Advanced Practice Providers or Physicians in our dedicated residency (NPRC) clinic managing a variety of acute and chronic problems commonly seen in primary care
  • Specialty rotations including pediatrics, behavioral health, women’s health, Urgent Care, Cardiology, Orthopedics, Gastroenterology, Neurology and Pulmonology
  • Regularly scheduled didactics: View Didactic Schedule
  • Small group learning sessions focused on exam and other clinical skills (Ex’s: How to perform a diabetic foot exam, microscopy skills, medical decision making, etc)
  • Weekly case discussions
  • Participation in Project ECHO
  • Opportunity for elective rotations that meet your personal learning goals and professional objectives
  • Completion of a practice improvement project

Our Facilities

You will be working in a state-of-the-art clinic dedicated to the Nurse Practitioner Residency Program, located on the first floor of our Valley Clinic.

Our Residents

CHAS Health is looking for candidates who possess:

  • Recent graduate from a MSN or DNP program or newly licensed as advanced registered nurse practitioner.
  • Must be licensed in Washington and credentialed by program start date.
  • Desire to further learning and understanding in basic and advanced family practice care topics.
  • Interest in gaining experience working in a community health center setting.

Faculty Preceptors

Todd Smith, ARNP NPRC Clinical Program Director

Todd Smith, ARNP
NPRC Clinical Program Director


  • State University of New York at Cortland, BA Sociology
  • University of Rochester, BSN Nursing
  • University of Washington, MSN


Todd Smith worked as an EMT and nursing assistant while in school and completed 2 years in trauma/surgical ICU before changing to ED. He has worked in rural medicine, urgent care, ED, and family practice.

Todd has over 10 years of experience in FQHC’s and the bulk of his professional career as an NP has been working with underserved populations. He has been precepting NP and PA students for over 15 years and has discovered that teaching helps him re-evaluate his practice and stay current with guidelines. Additionally, he has developed an interest in adult learning styles and has become active in the NP residency movement.

Dr. Wilfred “Wilkie” Madarang, MD
NPRC Lead Provider


  • Ateneo de Manila University, BS Psychology
  • St. Lukes College of Medicine, Doctor of Medicine
  • Penn State Hershey, Residency in Family Practice


Dr. Madarang completed medical school in the Philippines in 2003 and spent several years practicing medicine before moving to the States. He trained and worked in family medicine at Penn State for three years and was the chief resident in his third year.

After joining CHAS Health in 2011, Dr. Madarang began instructing NP and medical students and later became interested in teaching residents as well. Shortly thereafter, a position opened up at the Valley and NPRC clinic making this possible. In 2018, he received his Fellowship degree in Family Medicine and currently has a special interest in obesity medicine.

Dr. Marcus Baca, MD
Pediatrics Preceptor


  • University of Denver, BS Biology
  • University of New Mexico, Medical Degree
  • University of Washington, Pediatric Residency
  • American Board of Pediatrics, Board Certified Pediatrician


Dr. Marcus Baca received his undergraduate degree from the University of Denver and attended medical school at the University of New Mexico. He completed his pediatric residency at the University of Washington.

Dr. Baca has been practicing post-training for two years and has an interest in both anticipatory guidance and family medicine.

Amy Starr, MA
Clinic Administrator


  • California State University – Fullerton, MA Organizational Communication


Amy Starr instructed speech communication for the California State University and the California Community College systems both before and after graduating from CSU Fullerton in 1992. After working several years in healthcare education programs in the Midwest, she joined the Hospital Association of Southern California where she developed training and service delivery programs for the advancement of healthcare delivery systems.

With over 20 Years of healthcare management experience, Amy Starr’s passion is working with a team approach to meeting the varied and often complex needs of an increasingly diverse patient population.




Our program is accredited through the National Nurse Practitioner Residency & Fellowship Training Consortium. Learn more about the rigorous standards of the NNPRFTC.

Visitors to our site are encouraged to provide public comments as part of our accreditation process. Please visit the Accreditation Status and Public Comment Website