Meet our Staff


Makenzie Misleh, Practice Manager

Hello, my name is Makenzie Misleh! I am the practice manager at Madison Medical Associates. I live in Cincinnati with my husband, our son Brody, and our 2 dogs (Rufus & Ralph). My son is my absolute pride and joy and being a mother has become my ultimate passion. My educational background includes graduating from McAuley High School and Xavier University where I earned my Bachelor’s degree. Healthcare was my passion from the very beginning and it is all I have ever known.

I have 10 years of experience working in both the administrative and clinical side of a wide range of work environments such as hospitals, outpatient centers, and small internal medicine offices. More specifically my time was spent in the emergency department, hematology/oncology, and various departments of registration, billing and insurance verification. I originally started working under MDVIP in 2017, so I have become accustomed to the model of practice that our office strives for in regards to excellent patient care. I take pride in my position and value the efforts to provide patients with answers to any questions that they may acquire. I love connecting and conversating with new people, so the next time you are in for an appointment or a lab draw please feel free to stop in my office and introduce yourself!


Anne Enneking, Medical Assistant

I have loved taking care of others since I was young and felt called to a medical assisting career. I have had the opportunity to serve in multiple specialties throughout my 30 year career, but my heart lies with the Primary Care sector. I am in my element most when I am able to provide one on one attention and care to those in need.

My free time consists of spending time with my 3 sons and their families. I enjoy spoiling and entertaining my 4 grandsons and then sending them back to their parents. I love sports including wrestling, softball, baseball and women’s college basketball. I am an avid 3rd generation Cincinnati Reds fan. I also have a clowder of rescued cats and kittens that I adore.

My goal here at Madison Medical Associates is to make my patients feel welcome and cared for. I strive every day to offer outstanding patient care by being kind and empathetic and treating others as I wish to be treated. I am so excited to be back to my Primary Care roots! I look forward to meeting you and I cannot wait to brighten your day!


Tonya Klefeker, Medical Assistant

I am a married, military mom of three boys and two girls; ranging in ages 9-29. My older sons are both married and gave me 5 grandsons—unfortunately, no little girls just yet. We have two dogs, Diesel & Winx; a cat, Miss Kitty, who keep it more than comical around the house most days, but the Mom life is what seems to keep me young as my kids are involved in soccer, basketball, and now volleyball. We never stop!

Healthcare was never a goal of mine but I have grown to love it. I began as a Registrar at Mercy Health – Anderson Hills Internal Medicine then decided to move into their Medical Assistant Apprenticeship Program, where I have worked in family medicine since 2022. I adore meeting the patients and the ongoing relationships I easily make while I’m helping those feel better about their time during their doctor appointments. I came from a hectic life of a 911 Police/Fire/EMS Dispatcher in Clermont County close to 15 years ago. I chose to slow down my life significantly and I can say my overall experience as a dispatcher shaped me into who I am today.

I love to travel most of all, many genres of music, and I am about to start writing my first book—something I have always dreamed of doing. I’m always the person with the upbeat personality and I feel I’m fun to work with.


Sharon Hughes, Registered Nurse

I am originally from Oberlin, Ohio. I currently live in Hillsboro Ohio with my husband on 60 acres two dogs and two cats. My two adult sons left the nest a few years ago. I am a licensed massage therapist as well as a Registered Nurse. 

I earned my nursing degree in 2015 from Southern State Community College. I went back for my Bachelorette of nursing through Purdue University- calumet in 2017. I started my nursing career at University of Cincinnati Medical Center in the neurosurgery adjustable acuity unit. I still work at UC a few days a month as I love bedside care. I have also worked at Highland District Hospital Emergency Department and Adams County Regional Medical Center Emergency Department. I also am a clinical instructor through SSCC.

 I have been a patient of Dr. Maeders’ for several years now and I LOVE the service she provides. She listens to her patients and gives excellent care. I am proud to be a part of this team lead by Dr. Hartig and Dr. Maeder.


Gabrielle Adams, Receptionist

I was born and raised in Kentucky. I moved to Cincinnati four years ago and since then I have been putting smiles on the faces of Cincinnati residents. When I was given the opportunity to work here at Madison Medical Associates, I was filled with gratitude! I now have a place to grow and to be of service to all of you. My goal is to bring a smile to this office. Along my journey here, I would like to learn more about medical field while my passion is having a brighter future for me and my family. I am a mother to my two beautiful daughters and on my downtime, I love to spend time with them. I enjoy music, food and binging TV shows!


Madelyn Wilke, Receptionist

My journey led me here from Hyde Park Medical Associates where my initial encounters with Dr. Hartig and Dr. Maeder took place. I earned a bachelor’s degree in English Literature which I earned from Northern Kentucky University in December of 2022. I recently discovered my passion for medicine. I plan to utilize the knowledge and credits to pursue my Master’s degree in Health Administration. As a lifelong resident of the Westside of Cincinnati, I enjoy the company of my friends and family. My favorite pastimes are reading, exploring new TV shows and watching movies. Being in the company of people and contributing to their access to vital medical care is what not only defines my role, but also brings a smile to my face at the end of each day.


Gabby Keil, University of Cincinnati Student

I am a student at the University of Cincinnati majoring in Neurobiology and minoring in Psychology on a Pre-Medicine track. After I graduate from UC, I plan on attending medical school to pursue a career as a physician. I have worked in healthcare for the past 2 years, most recently as a surgical technician on a Labor and Delivery unit where I helped deliver babies in cesarean sections and normal deliveries. I am a busy bee and love to keep moving! When I am not working, I have tons of homework, I volunteer at Cincinnati Children’s Hospital, and I am also a member of the Tri Delta sorority on UC’s campus! I also love to travel, whether it is throughout the country or even internationally! I have always had a passion for medicine, even from a young age. I have always wanted to help people and make a difference in the world, and I want to make my patients feel comfortable and safe. I love to talk and hold conversations as well, so I can’t wait to have great conversations with all of you in the office!