
Primary Care
What Causes Persistent Nausea Without Vomiting?
Explore possible causes of persistent nausea, patterns to track, and when to discuss ongoing symptoms with a healthcare provider.
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Plymouth
Indiana · Video visits statewide
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Wade’s Care First sees Plymouth patients by secure video for primary care, mental health, ADHD, weight management, urgent care and more. Labs, imaging and prescriptions go to facilities in and around Plymouth.
Telehealth only. No office in Plymouth: you join from wherever you are in Indiana. Pricing · Insurance Accepted
Every service is available statewide by video. Each page explains what can and cannot be handled remotely.
Your ongoing Primary Care ProviderAcute Care, Routine Care, Preventive Care, and Chronic Care with one provider who knows your history.
Screenings for your age and riskScreenings, labs and risk checks chosen for your age, history and family history.
Evaluation and treatmentAnxiety, depression, panic, PTSD symptoms and more. A full evaluation first, then a plan you help build.
Adults and teensEvaluation and follow-up for attention, focus and executive-function concerns.
Medication with a plan around itA workup first, then nutrition, lab monitoring and medication when it fits.
Sick visitsSinus infections, UTIs, rashes and stomach bugs. Check the scheduler for available appointments, including same-day openings when offered.
Skin concerns by videoAcne, eczema, psoriasis, melasma, fungal nails and rashes, evaluated from clear photos and a conversation.
Strains, sprains and flare-upsBack and neck pain, sprains, joint flares and headaches over a short course of care.
Hormones, prostate and screeningED, testosterone testing, prostate health, PSA and the screenings men tend to skip.
Every stagePeriods, birth control, perimenopause, menopause and the questions in between.
Ages 5 and upVideo visits for the things that keep a kid home from school.
Older adults and their familiesMedication review, chronic conditions and coordination with everyone involved.
Part of your primary careInsomnia, snoring, sleep apnea screening and sleep-study coordination.
Pharmacogenomic testingA cheek swab that adds genetic information to mental-health medication decisions.
Start with the care you need. We’ll guide you through the visit details and available times.
Select your service and whether you are a new or established patient.
Select insurance or self-pay. Review the accepted plans and posted prices before continuing.
Confirm where you will be during the visit and your timezone, then review your appointment details.
BCBS / Anthem PPO, UnitedHealthcare PPO, UMR (PPO), Aetna PPO, Cigna PPO, Humana PPO, Ambetter PPO, Original Medicare, Indiana Medicaid, Healthy Indiana Plan (HIP), MHS, MHS — Hoosier Healthwise, MHS — Hoosier Care Connect, Humana — Indiana PathWays for Aging, Wellcare by Allwell (Medicare), Ambetter (Indiana), CareSource (Indiana), Anthem BCBS (Indiana HMO), Cigna (Indiana), TRICARE.
Benefits are verified before your visit. If your plan is not accepted, self-pay prices are posted.
Check Your BenefitsWade’s Care First is a full medical practice delivered through telehealth. When it is medically appropriate, we order, prescribe, refer and coordinate the services you would expect from a traditional outpatient practice.
Blood work, urine tests, hormone and PSA testing, completed at a lab near you.
X-rays, ultrasounds, CT scans and MRIs ordered through local imaging centers.
Testing matched to your symptoms, history and plan, including sleep studies when indicated.
Orders for durable medical equipment and supplies when medically necessary.
Referrals to cardiology, endocrinology, sleep medicine and more, with your care kept connected.
Prescribing and adjusting medications when clinically appropriate and allowed by law.
Every result reviewed with you, explained, and turned into a next step.
Pharmacogenomic information that may help inform mental-health medication decisions.
Orders and referrals sent to facilities near you, with Wade’s Care First staying involved.
Telehealth when appropriate. In-person services when needed. Coordinated care throughout.
Book a VisitHow It WorksSaint Joseph Health System offers laboratory and medical imaging services at Plymouth Medical Center, 1915 Lake Avenue, including CT. Confirm the requested test, outside-order acceptance, scheduling and insurance directly with the facility.
Saint Joseph Health System lists Medical Imaging at Plymouth Medical Center, 1915 Lake Avenue, and confirms CT services in Plymouth. Confirm the ordered modality, scheduling, order acceptance and coverage directly with the imaging department.
Saint Joseph Health System offers laboratory and medical imaging services at Plymouth Medical Center, 1915 Lake Avenue, including CT. Confirm the requested test, outside-order acceptance, scheduling and insurance directly with the facility.
The Plymouth hospital campus and Beacon Health System facilities in Bremen and South Bend are regional options to contact about available imaging.
CVS: one store, 1900 N Michigan St. Walgreens lists a Plymouth store (Walgreens Indiana store list).
Before you go, confirm the requested test, outside-order acceptance, insurance, collection fees and hours with the facility. These resources are examples, not a complete directory. Quest Location Finder · Labcorp Location Finder.
No. Wade’s Care First is a telehealth practice. You join your visit by secure video from home, work or anywhere in Indiana, and Charles Wade, FNP-BC is licensed to treat you while you are in the state. Anything that needs hands-on care is coordinated with facilities in and around Plymouth, such as Saint Joseph Health System Plymouth Medical Center (Trinity Health; licensed as ’Saint Joseph Regional Medical Center, Plymouth’, 1915 Lake Ave; 48 staffed beds). Local reporting documents closure of its birthing unit and OB-GYN office (2023) and earlier closure of its ICU, Community Hospital of Bremen (Beacon Health System; 1020 High Rd, Bremen; 24 staffed beds, about 12 miles east) and Memorial Hospital of South Bend (Beacon; Adult Level II trauma center, about 25 miles north).
Saint Joseph Health System offers laboratory and medical imaging services at Plymouth Medical Center, 1915 Lake Avenue, including CT. Confirm the requested test, outside-order acceptance, scheduling and insurance directly with the facility. We send the order electronically to a location that is convenient for you or in your insurance network. Results come back to us for review with you.
Saint Joseph Health System Plymouth Medical Center (Trinity Health; licensed as ’Saint Joseph Regional Medical Center, Plymouth’, 1915 Lake Ave; 48 staffed beds). Local reporting documents closure of its birthing unit and OB-GYN office (2023) and earlier closure of its ICU, Community Hospital of Bremen (Beacon Health System; 1020 High Rd, Bremen; 24 staffed beds, about 12 miles east) and Memorial Hospital of South Bend (Beacon; Adult Level II trauma center, about 25 miles north). For chest pain, trouble breathing, stroke symptoms, severe bleeding, a major injury or thoughts of harming yourself, call 911 or go to the nearest emergency department rather than booking a video visit.
HRSA’s November 2024 list did not include a full FQHC delivery site in Marshall County. Local resources include the Bowen Center at 990 Illinois Street in Plymouth, an HRSA look-alike. Nearby options include HealthLinc at 104 E. Culver Road, Suite 106, in Knox (about 20 miles away), HealthLinc at 420 W. 4th Street in Mishawaka (about 25 miles away), and the Knox/Winamac Community Health Centers. Contact the facility about services, eligibility, and sliding-fee options. Many patients combine local care with telehealth for follow-ups and medication management.
Many plans are accepted and benefits are verified before your visit. BCBS / Anthem PPO, UnitedHealthcare PPO, UMR (PPO), Aetna PPO, Cigna PPO, Humana PPO, Ambetter PPO, Original Medicare, Indiana Medicaid, Healthy Indiana Plan (HIP), MHS, MHS — Hoosier Healthwise, MHS — Hoosier Care Connect, Humana — Indiana PathWays for Aging, Wellcare by Allwell (Medicare), Ambetter (Indiana), CareSource (Indiana), Anthem BCBS (Indiana HMO), Cigna (Indiana), TRICARE. Indiana Medicaid runs five member programs: Healthy Indiana Plan (HIP, adults 19-64 and pregnant women), Hoosier Healthwise (children and pregnant women), Hoosier Care Connect (people 59 or younger who are blind or disabled and not eligible for Medicare, including SSI recipients and some children in foster care), Indiana PathWays for Aging (eligible Medicaid members age 60 and older), and Traditional Medicaid (fee-for-service). As of January 1, 2026: HIP and Hoosier Healthwise, Anthem, CareSource, Managed Health Services (MHS). MDwise left HIP and Hoosier Healthwise effective Jan. 1, 2026 (IHCP bulletin BT2025157, Nov. 12, 2025); members who did not choose were auto-assigned and may switch plans within 90 days. Hoosier Care Connect, Anthem, MHS, UnitedHealthcare. Indiana PathWays for Aging, Anthem, Humana, UnitedHealthcare. UnitedHealthcare does not appear as an HIP or Hoosier Healthwise plan. Coverage varies by plan, and self-pay pricing is posted if your plan is not accepted.
Mental Health: geographic HPSA ’Mental Health Catchment Area 28, Warsaw’ including Marshall County (2021, score 17). Primary Care: ’LI-Marshall County’ low-income population HPSA (2018) proposed for withdrawal. MUA: Plymouth Service Area (2011). Telehealth can complement local clinicians by offering another way to access primary care, mental health and medication follow-up while you keep your local relationships.
When clinically appropriate, we can send orders to a laboratory or imaging facility you choose. Confirm that the location performs the requested test, accepts the order and participates in your insurance network. Availability and travel distance vary by community.
All Urgent Care Questions All Primary Care Questions All Geriatric Care Questions
Services, screening recommendations, testing, treatment options, referrals and prescribing may vary with your age, medical history, symptoms, where you are physically located at the time of the visit, state and federal requirements, insurance requirements, and whether your condition can be safely managed by telehealth. Conditions and services listed here are examples. An appointment does not guarantee a particular diagnosis, a prescription, a controlled medication, hormone therapy, a lab order, an imaging study, a sleep study, a specialist referral, an accommodation letter or a particular treatment. Treatment decisions follow a clinical evaluation and the provider’s judgment.
Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
Articles on the care people in Plymouth book most, each linked to its service and booking.

Primary Care
Explore possible causes of persistent nausea, patterns to track, and when to discuss ongoing symptoms with a healthcare provider.
Read Article →
Dermatology
Learn how medications can contribute to hair loss and what to discuss with your prescriber before making any changes.
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Geriatric Care
Find practical ways to support an aging parent with appointments, medication lists, changing needs, and ongoing primary care.
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Urgent Care
Learn how the cause of a sinus infection affects questions about contagiousness and when to seek an evaluation.
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The Marshall County Courthouse in Plymouth.
Photo: Derek Jensen (Tysto) · Source · Public domain. Resized for display.
Farm-county seat on US 30 between South Bend and Fort Wayne, about 25 miles south of South Bend; its small hospital has lost obstetrics and intensive care in recent years.
Plymouth still has a hospital, Saint Joseph Health System’s Plymouth Medical Center on Lake Avenue, but it is smaller than it used to be. In 2023 the system closed the New Beginnings Birthplace and its OB-GYN office after it could not recruit an obstetrician, and the mayor noted the intensive care unit had already closed. Primary Care, immediate care and pediatric offices remain. Marshall County has no federally qualified health center, sits inside a designated mental health shortage area, and the Plymouth area has been a Medically Underserved Area since 2011.
A video visit with Wade’s Care First is a way to keep up with primary care, mental health, ADHD, weight management and sleep concerns without driving to South Bend, while local offices and the hospital handle what needs hands.
Marshall County is inside the geographic mental health HPSA ’Mental Health Catchment Area 28, Warsaw’ (designated Nov. 2021, score 17), and the ’Plymouth Service Area’ has been a HRSA Medically Underserved Area since Aug. 2011; a low-income primary care HPSA for the county (2018) is proposed for withdrawal. Saint Joseph Health System closed Plymouth’s New Beginnings Birthplace and its OB-GYN office in spring 2023 after failing to recruit an obstetrician, and the mayor said the hospital’s intensive care unit had already closed (WSBT, March 2023); primary care, immediate care and pediatric offices remained in Plymouth (WNDU, May 2023).
HealthLinc Knox is one regional option for sliding-fee care. Check current Quest and Labcorp directories, or contact the local hospital laboratory, to confirm a suitable collection site for your ordered test. CDC PLACES estimates 10.9 percent of adults 18-64 are uninsured and only 76.0 percent had a routine checkup in the past year, the lowest of the nine places profiled.
Marshall County has the highest adult obesity rate of the nine Indiana places we profiled, 43.4 percent countywide and 45.0 percent in Plymouth by CDC PLACES estimates, and the lowest share of adults getting a yearly checkup, 76 percent. About 10.9 percent of working-age adults are uninsured, which is where the Healthy Indiana Plan matters. Video visits help uninsured or HIP-covered working adults, farm and factory workers who cannot leave during clinic hours, parents of children five and older now that local pediatric options have narrowed, and anyone seeking depression, anxiety or ADHD care in a shortage area. Pregnant patients should arrange in-person prenatal care with an obstetric clinician. Confirm the clinician’s current office and delivery hospital. For chest pain, stroke signs, serious injury or trouble breathing, call 911.
Medicaid: Indiana Medicaid runs five member programs: Healthy Indiana Plan (HIP, adults 19-64 and pregnant women), Hoosier Healthwise (children and pregnant women), Hoosier Care Connect (people 59 or younger who are blind or disabled and not eligible for Medicare, including SSI recipients and some children in foster care), Indiana PathWays for Aging (eligible Medicaid members age 60 and older), and Traditional Medicaid (fee-for-service).
As of January 1, 2026: HIP and Hoosier Healthwise, Anthem, CareSource, Managed Health Services (MHS). MDwise left HIP and Hoosier Healthwise effective Jan. 1, 2026 (IHCP bulletin BT2025157, Nov. 12, 2025); members who did not choose were auto-assigned and may switch plans within 90 days. Hoosier Care Connect, Anthem, MHS, UnitedHealthcare. Indiana PathWays for Aging, Anthem, Humana, UnitedHealthcare. UnitedHealthcare does not appear as an HIP or Hoosier Healthwise plan.
Not sure telehealth fits, whether your plan is accepted or which visit to book? Ask. A real person from the practice gets back to you.

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Book a VisitAsk a QuestionText UsIf this is an emergency, call 911. For mental health crisis support, call or text 988 anytime.