
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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Alpena
Michigan · Video visits statewide
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Wade’s Care First sees Alpena 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 Alpena.
Telehealth only. No office in Alpena: you join from wherever you are in Michigan. 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, 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 WorksMyMichigan Medical Center Alpena lists local laboratory services. Confirm the test, collection location, order requirements, hours and network participation before visiting. MyMichigan Medical Center Alpena provides hospital laboratory and radiology services, and Thunder Bay Community Health Service lists radiology in partnership with MyMichigan, so imaging orders can usually stay local. Walgreens lists an Alpena store, and Rite Aid closed all Michigan pharmacies in 2024. Tell us the exact pharmacy you use, including independents, and whether a 90-day supply would cut down on winter trips.
MyMichigan Medical Center Alpena is the local hospital imaging provider.
Walgreens lists Alpena in its Michigan store directory. Rite Aid closed all of its roughly 230 Michigan stores by late 2024.
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 Michigan, 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 Alpena, such as MyMichigan Medical Center Alpena (1501 W Chisholm St), Level III trauma center; the only hospital emergency department listed for Alpena in the March 2025 MCEP Michigan ED list.
MyMichigan Medical Center Alpena (1501 W Chisholm St), Level III trauma center; the only hospital emergency department listed for Alpena in the March 2025 MCEP Michigan ED list. 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.
Alcona Health Center (Alcona Citizens for Health, Inc.), 9 active Alpena sites in HRSA data and Thunder Bay Community Health Service, Inc., 2 active Alpena sites in HRSA data; headquartered in Hillman, serving Montmorency, Alpena, Presque Isle, Cheboygan, Oscoda and Otsego counties serve the area with in-person primary care on a sliding scale. Many patients pair that kind of local clinic with telehealth for follow-ups, medication management and specialist coordination.
Michigan Medicaid plans are not on the participating list right now. Plans accepted in Michigan: BCBS / Anthem PPO, UnitedHealthcare PPO, UMR (PPO), Aetna PPO, Cigna PPO, Humana PPO, Ambetter PPO, TRICARE. Benefits are verified before your visit, and self-pay pricing is posted if your plan is not accepted.
Alpena County: 3 primary care HPSAs (MyMichigan Family Medicine RHC 17, Alcona Citizens for Health FQHC 17, Low-Income Alpena County population 15, all rural) and 2 mental health HPSAs (FQHC 13, RHC 11) (HRSA BCD_HPSA files). 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 Alpena 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.
Read Article →
Alpena Light beside the waterfront at Alpena Marina.
Photo: Dylan L. Tanner · Source · CC BY-SA 2.5. Resized for display.
Lake Huron shoreline hub for Michigan’s rural northeast, with one Level III hospital, an aging population (one in four residents 65+), rural shortage designations and a notable share of households without internet.
Alpena is the hospital town for Michigan’s northeast shoreline, with MyMichigan Medical Center Alpena, a Level III trauma center on West Chisholm Street. Beyond that, options thin out quickly: HRSA designates the county’s low-income population and the local rural health clinic as primary care shortage areas, about a quarter of county residents are 65 or older, and one in ten households has no internet subscription.
A video visit with Charles Wade, FNP-BC, lets you handle primary care, mental health, ADHD, weight management, skin concerns and minor illness without a long drive. He orders labs and imaging to be done in Alpena and sends prescriptions to your pharmacy. Alcona Health Center and Thunder Bay Community Health Service are the area’s community health centers for in-person sliding-fee care.
HRSA designates the low-income population of Alpena County as a rural primary care HPSA (score 15); MyMichigan Family Medicine is a rural health clinic HPSA (17 primary care / 11 mental health) and Alcona Citizens for Health an FQHC HPSA (17 / 13). ACS 2024 5-year: 25.2% of Alpena County residents are 65 or older (vs 16.1% in Detroit), 10.5% of households have no internet subscription and 85.1% have broadband; 5.2% uninsured. Only four Medicaid health plans serve Alpena County. Statewide, more than 212,000 Michigan households lack access to a high-speed connection (Michigan High-Speed Internet Office).
Telehealth helps Alpena-area residents who would otherwise drive for care: retirees managing blood pressure, diabetes, sleep or memory concerns; adults who want mental health or ADHD follow-up without a waiting room; and parents of children ages five and older with everyday illnesses. It also suits people in outlying townships who lose hours each time they come into town, especially in winter. A stable internet connection matters, so plan the visit where your signal is strongest.
Go in person for physical exams, vaccines, procedures and anything that needs hands-on evaluation. For chest pain, stroke signs, severe injury, breathing trouble or a mental health crisis, call 911 or go to MyMichigan Medical Center Alpena’s emergency department.
Medicaid: Michigan Medicaid is administered by the Michigan Department of Health and Human Services (MDHHS). Most beneficiaries are enrolled in managed care through the Comprehensive Health Care Program (CHCP); MDHHS posts the FY2026 CHCP contract and amendment on its Medicaid Health Plans page. The Healthy Michigan Plan is Michigan’s Medicaid expansion coverage for low-income adults. MI Coordinated Health, a new program for people with both Medicare and Medicaid, launched January 1, 2026 in select counties, replacing MI Health Link, with statewide expansion planned for 2027 (MDHHS newsroom, Oct. 9, 2024).
Nine Medicaid health plans hold CHCP contracts that took effect October 1, 2024 and run through September 30, 2029 with three optional one-year extensions: Aetna Better Health of Michigan, Blue Cross Complete of Michigan, HAP CareSource, McLaren Health Plan, Meridian Health Plan of Michigan, Molina Healthcare of Michigan, Priority Health Choice, UnitedHealthcare Community Plan and Upper Peninsula Health Plan (MHA summary of the April 8, 2024 award; Meridian press release). Plans vary by county per the MDHHS ’Michigan Medicaid Health Plan Listed by County’ (updated 1-10-2025): Wayne County has eight plans (all except Upper Peninsula Health Plan); Kent has six (Blue Cross Complete, Molina, McLaren, Priority Health Choice, Meridian, UnitedHealthcare); Ingham has four (McLaren, UnitedHealthcare, Aetna, HAP CareSource); Washtenaw has six (Blue Cross Complete, McLaren, Meridian, UnitedHealthcare, Aetna, HAP CareSource); Genesee has six (Blue Cross Complete, Molina, McLaren, Meridian, UnitedHealthcare, HAP CareSource); Kalamazoo has four (McLaren, Meridian, UnitedHealthcare, Aetna); Alpena has four (Blue Cross Complete, Molina, McLaren, Priority Health Choice); Marquette and the rest of the Upper Peninsula have one (Upper Peninsula Health 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.