About Us

The Skin Care Experts

Meet Our Team

Urban Effects MedSpa was created because of our owner’s passion for skin! With relationships built on integrity and trust, the Urban Effects team strives to achieve excellence in improving our clients’ skin health and appearance. We value education, communication, and creating real results, and pride ourselves on offering the best skin care treatments on the market. These treatments are performed by experienced, educated nurse practitioners who have been working in the medical and aesthetic skin care industry for more than 40 years.

Susan Cross, ARNP, MSN, FNP-BC

Susan has been a board-certified advanced registered nurse practitioner since 1998 and a full-time registered nurse since 1978. Her 40-year career encompasses a multi-disciplinary clinical experience and expertise in the medical specialties of otorhinolaryngology and facial plastic surgery, internal medicine and endocrinology, and medical and cosmetic dermatology.

Susan Cross

Susan’s nursing career began in Des Moines, Iowa, when she worked at Mercy Hospital SICU for one year before spending the next 10 years at the Wolfe Clinic ENT/Facial Plastic Surgery department in Marshalltown and Des Moines. After completing her family nurse practitioner graduate degree and certification in 1998, she joined the endocrinology/adult medicine team at McFarland Clinic in Ames, Iowa. During her time there, she worked in the acute care walk-in clinic, where she provided primary care history and physicals, diabetes management within ADA guidelines, and lipid clinics within AHA-NCEP III guidelines. Over the course of her final six years with McFarland Clinic, Susan worked in the dermatology department with medical and cosmetic skin concerns with five board-certified dermatologists. While here, she became certified in the Excimer®, Lightsheer®, and phototherapy lasers.

In 2008, Susan joined Kathy Cook, MD, in her private dermatology practice in Ames and Ankeny. There, Susan provided medical and cosmetic dermatology services, referrals, and coordination of care for Mohs procedures as well as laser treatments including IPL, Fractional CO2, Lightsheer®, and Isolaz®. She also dispensed SkinMedica® and Obagi® skin care products and provided peels, BOTOX®, and filler treatments.

In 2011, Susan opened Urban Effects MedSpa in Clive, and in 2017 moved the office to its current location in Urbandale.

Nicole Fellers, ARNP, AGNP-BC

Nicole Fellers, ARNP, FNP-BC, board certified Nurse Practitioner joined Urban Effects Medspa in 2019. She obtained her undergraduate degree at the University of Iowa College of Nursing having spent many years in critical care before returning to school to complete her Master’s degree in Nursing at Allen College of Nursing in Waterloo.

Nicole Fellers

Nicole brings her clinical experiences in a variety of areas in the medical field that include dermatology, family practice and women’s health. Nicole is certified in lasers, Botox, fillers and skincare and is very excited in pursuing her passion in maintaining youthfulness inside and out while helping others achieve their wellness and skincare goals.

Nicole lives in Bondurant with her husband, Adam and their four boys. She spends her free time at sporting events, enjoying the outdoors, gardening, taking care of her flock of chickens and spending time with family.

Alice Doolittle, RN

Alice has enjoyed working as a registered nurse with Susan for over 15 years. The pair started their journey in 2004, when Alice was hired as department manager in the dermatology department at McFarland Clinic in Ames, Iowa. She later joined Kathy Cook, MD, in her private dermatology practice as nurse manager in 2009, and in 2013 joined Urban Effects Medspa.


Alice graduated from Southwestern Community College of Nursing in 1984 as a registered nurse. Her clinical experiences and expertise are in medical-surgical nursing, orthopedics, general surgery, and dermatology, in which she has worked bedside and as a surgical first assistant and nurse manager.

At Urban Effects, Alice is certified to perform treatments in BBL® and Forever Young BBL®, Skin Tyte II and ForeverClear acne treatments, chemical peels, Cutera HR, TruSculpt 3D, and TruSculpt ID. Alice is also the weekly coach for the medically-directed ITG weight loss program.

Jessica Smith, L.E.

Licensed Esthetician
Jessica has been in the beauty and medical industry for more than 20 years. After starting as a makeup artist, she quickly realized this was a passion she wanted to pursue and earned her esthetician license in 2008 after graduating from Iowa School of Beauty.


Not only is she skilled with makeup, Jessica also has extensive knowledge of medical-grade skin care products and medspa services. She joined Urban Effects MedSpa in January of 2018 and assists clients with scheduling appointments, skin care product education, makeup artistry, hydrafacials, VISIA consultations and evaluations, photography, chemical peels, and other esthetic services.

Contact Us Today!

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