With a combination of clinical and administrative experience, Chief Executive Officer Annette Small leads the day-to-day and strategic business aspects of the Midwest Aortic & Vascular Institute so that the surgeons can focus on what they do best, take excellent care of patients. She leads a top-notch team of clinical and operational staff to ensure a patient experience that is second to none.



Annette Small has the perfect blend of clinical and business experience, as well as respect and trust of the surgeon owners, to guide MAVI to new heights. Within her first year of joining Kansas City Vascular, P.C., she orchestrated the merger of the group with Vascular Surgery Associates, P.C. to create MAVI, positioning the group as the largest independent vascular surgery practice in the region.


Prior to joining Kansas City Vascular, P.C. in 2015, Annette was Chief Operating Officer for Adams Dairy Bank in Blue Springs, Mo. Annette supported the bank’s strategic efforts to grow core deposits, as well as its culture of above and beyond customer service and community-based banking. Annette also served the Blue Springs community as Chief Executive Officer of St. Mary’s Medical Center. In 2009, she began rebuilding the organizational culture and initiated multiple tactics to improve service, quality, profitability and most importantly, patient and medical staff engagement.


In addition to her work, Small is active in various civic and professional organizations. Through the years, her involvement with the Blue Springs Chamber of Commerce has included membership, serving on the board of directors and being twice nominated “Business Person of the Year.” Small was a member and on the board of directors for the Blue Springs Economic Development Corporation. She was also a member of the Blue Springs Rotary Club and the American College of Healthcare Executives. 



Ginger’s impressive track record as a health care executive is why MAVI recruited her to manage clinic operations including all aspects of human resources, process improvement, service delivery, vendor relationships, marketing and development for the growing and dynamic practice. Prior to joining MAVI in 2013, Ginger was vice president of strategic planning and business development for Carondelet Health in Kansas City and also held executive positions at Shawnee Mission Medical Center and Menorah Medical Center. Her natural ability to lead organizational advancement and identify and resolve process issues have resulted in measurable efficiencies, greater employee and physician satisfaction, and improved customer experience.

Ginger earned a B.S. in journalism and mass communication from Kansas State University and a master’s degree in health services management from Webster University. An avid sports fan and community volunteer, Ginger’s greatest source of pride is daughter, Kylee, who graduated with a bachelor of science degree in nursing from Saint Luke's College of Health Sciences and is employed at a local hospital as a critical care nurse.

Nikki Kramer, RN 
Clinical Research Manager

Helping to foster advances in vascular disease, therapies and technologies is Nikki Kramer’s role as MAVI’s clinical research manager. Working under the guidance of MAVI’s clinical trial investigators, Nikki oversees recruitment, screening and enrollment of subjects, monitors trial progress, and serves as the point of contact for The Food and Drug Administration and all sponsoring organizations.

Before joining MAVI in January 2016, Nikki worked in an acute care hospital in departments that included medical-surgical, telemetry, interventional radiology and clinical outcomes. With more than 15 years of experience, Nikki’s impressive skills as a hands-on nurse and in designing quality outcomes performance improvement led her to MAVI. In September 2016 she assumed the role of clinical research coordinator, helping patients gain access to new research treatments before they are widely available.

She holds Licensed Practical Nursing and Associate of Science degrees in nursing from Penn Valley Community College

When she’s not working, Nikki enjoys spending time with her children.

Terri Self
Revenue Cycle Manager

As the patient revenue cycle manager at MAVI, Terri is responsible for the day-to-day oversight of billing operations and ensuring the accuracy and timeliness of all payment issues. Terri brings impressive skills to MAVI, having spent more than 21 years as a patient representative for St. Mary’s Medical Center in Blue Springs, Mo. Her specialty is helping patients navigate the sometimes confusing insurance process. Terri is a graduate of Central Missouri State University.

Office Locations

North Kansas City, MO  

2750 Clay Edwards Drive, Suite 304


Endovascular Suite (outpatient procedures)

2750 Clay Edwards Drive, Suite 304

Independence, MO  

4200 Little Blue Parkway, Suite 350

Liberty, MO  

2521 Glenn Hendren Drive, Suite 112

PHONE: 816-842-5555
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Monday -  Friday    7:30 a.m. - 5:00 p.m.
Saturday                  Closed
Sunday                     Closed

© 2016 Midwest Aortic & Vascular Institute, P.C.