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Nevada · Video visits statewide
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Care that fits your life
Telehealth care in Elko, Nevada.
Wade’s Care First sees Elko 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 Elko.
Telehealth only. No office in Elko: you join from wherever you are in Nevada. Pricing · Insurance Accepted
Services
What Elko patients book.
Every service is available statewide by video. Each page explains what can and cannot be handled remotely.
Your ongoing Primary Care ProviderPrimary Care
Acute Care, Routine Care, Preventive Care, and Chronic Care with one provider who knows your history.
Screenings for your age and riskPreventive Care
Screenings, labs and risk checks chosen for your age, history and family history.
Evaluation and treatmentMental Health
Anxiety, depression, panic, PTSD symptoms and more. A full evaluation first, then a plan you help build.
Adults and teensADHD
Evaluation and follow-up for attention, focus and executive-function concerns.
Medication with a plan around itMedical Weight Management
A workup first, then nutrition, lab monitoring and medication when it fits.
Sick visitsUrgent Care
Sinus infections, UTIs, rashes and stomach bugs. Check the scheduler for available appointments, including same-day openings when offered.
Skin concerns by videoDermatology
Acne, eczema, psoriasis, melasma, fungal nails and rashes, evaluated from clear photos and a conversation.
Strains, sprains and flare-upsShort-Term Pain Management
Back and neck pain, sprains, joint flares and headaches over a short course of care.
Hormones, prostate and screeningMen’s Health
ED, testosterone testing, prostate health, PSA and the screenings men tend to skip.
Every stageWomen’s Health
Periods, birth control, perimenopause, menopause and the questions in between.
Ages 5 and upPediatric Care
Video visits for the things that keep a kid home from school.
Older adults and their familiesGeriatric Care
Medication review, chronic conditions and coordination with everyone involved.
Part of your primary careSleep Concerns
Insomnia, snoring, sleep apnea screening and sleep-study coordination.
Pharmacogenomic testingGeneSight® Testing
A cheek swab that adds genetic information to mental-health medication decisions.
Booking & Insurance
Plan your video visit.
Start with the care you need. We’ll guide you through the visit details and available times.
Choose your visit
Select your service and whether you are a new or established patient.
Choose how to pay
Select insurance or self-pay. Review the accepted plans and posted prices before continuing.
Find an available time
Confirm where you will be during the visit and your timezone, then review your appointment details.
More Than a Video Visit
How It Works Your care doesn’t end when the video visit ends.
Wade’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.
- 1VisitSecure video from your phone or laptop
- 2TestingLabs and imaging ordered near you
- 3ResultsReviewed and explained with you
- 4TreatmentPrescriptions and a plan you helped build
- 5ReferralSpecialists and in-person care when needed
- 6Follow-upContinued care with the same provider
Laboratory testing
Blood work, urine tests, hormone and PSA testing, completed at a lab near you.
Diagnostic imaging
X-rays, ultrasounds, CT scans and MRIs ordered through local imaging centers.
Additional testing
Testing matched to your symptoms, history and plan, including sleep studies when indicated.
Equipment and supplies
Orders for durable medical equipment and supplies when medically necessary.
Specialist referrals
Referrals to cardiology, endocrinology, sleep medicine and more, with your care kept connected.
Prescription management
Prescribing and adjusting medications when clinically appropriate and allowed by law.
Results and follow-up
Every result reviewed with you, explained, and turned into a next step.
GeneSight® Testing
Pharmacogenomic information that may help inform mental-health medication decisions.
Care coordination
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 WorksOrders go local
Labs, imaging and pharmacies near Elko.
Elko has more in-person lab access than most rural Nevada towns. Quest Diagnostics has a patient service center at 1074 Idaho Street, open weekdays from early morning to mid-afternoon, and Labcorp lists a site on Browning Way; confirm current hours and appointment requirements before traveling. Northeastern Nevada Regional Hospital provides laboratory and imaging services. High Desert Imaging at 2110 Idaho St. also offers X-ray, ultrasound, MRI and CT. Confirm the ordered exam, appointment requirements and insurance coverage with the facility.
Prescriptions are sent electronically to your chosen pharmacy; Walgreens has an Elko store, and Nevada Health Centers operates a pharmacy at its 14th Street clinic. Confirm hours before you drive in from Spring Creek, Carlin or Wells.
Blood work
Quest Diagnostics patient service center at 1074 Idaho St., Suite 110 . Labcorp lists one Elko site at 1775 Browning Way. Northeastern Nevada Regional Hospital provides laboratory services.
Imaging
Northeastern Nevada Regional Hospital offers CT, MRI and women’s imaging. High Desert Imaging, 2110 Idaho St., offers X-ray, ultrasound, MRI and CT. Confirm the requested exam and insurance coverage directly.
Pharmacies
Walgreens (Elko store). Nevada Health Centers runs an NVHC Pharmacy at 762 14th St.
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.
Patient Questions
All Patient Questions Elko questions.
Does Wade’s Care First have an office in Elko?
No. Wade’s Care First is a telehealth practice. You join your visit by secure video from home, work or anywhere in Nevada, 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 Elko, such as Northeastern Nevada Regional Hospital (Lifepoint Health), 2001 Errecart Blvd., Elko, the region’s hospital with an emergency room, laboratory, CT (including low-dose lung screening), MRI, women’s imaging, labor and delivery, telestroke and behavioral health. For some specialized care, patients may need referral to a larger regional center outside Elko.
Where will I go for blood work if I live in Elko?
Quest Diagnostics patient service center at 1074 Idaho St., Suite 110 . Labcorp lists one Elko site at 1775 Browning Way. Northeastern Nevada Regional Hospital provides laboratory services. 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.
Which Elko hospitals have an emergency department?
Northeastern Nevada Regional Hospital (Lifepoint Health), 2001 Errecart Blvd., Elko, the region’s hospital with an emergency room, laboratory, CT (including low-dose lung screening), MRI, women’s imaging, labor and delivery, telestroke and behavioral health. For some specialized care, patients may need referral to a larger regional center outside Elko. 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.
Are there community health centers in Elko for in-person care?
Nevada Health Centers, Elko Family Medical & Dental, 762 14th St. (medical, dental, walk-ins welcome; NVHC Pharmacy on site) and Nevada Health Centers also runs community health centers in Carlin (310 Memory Ln.), Jackpot and West Wendover 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.
Can I use Nevada Medicaid or other insurance for a telehealth visit from Elko?
Nevada Medicaid plans are not on the participating list right now. Plans accepted in Nevada: 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.
Is Elko a health professional shortage area?
Elko County is a federally designated mental health HPSA (all rural and frontier Nevada residents live in one) and is among the rural counties designated as single-county primary care HPSAs per UNR Med’s 2025 summary of HRSA data. 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.
Can orders be sent to a laboratory or imaging facility near me?
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.
More answers
Questions Elko patients ask about urgent care, primary care and geriatric care.
- Can a sore throat be assessed without an in-person examination?
- How do you decide if sinus symptoms need antibiotics?
- How can home blood pressure readings be used during a virtual visit?
- Can primary care help when I have several symptoms that may be connected?
- Why is a complete medication list particularly important for older adults?
- Can dizziness or falls be discussed during a virtual visit?
All Urgent Care Questions All Primary Care Questions All Geriatric Care Questions
Good to know
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.
Sources
Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
Patient Education
Browse All Patient EducationHealth topics for Elko patients.
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A local landmark
Elko County Courthouse
Elko County Courthouse in Elko, Nevada.
Photo: Visitor7 / Wikimedia Commons · Source · CC BY-SA 3.0. Resized for display.
Rural community · Elko County
Getting care in Elko
The largest town on Interstate 80 between Salt Lake City and Reno, at about 5,100 feet, with an economy built on gold mining, ranching and highway travel.
Some specialized services require travel beyond Elko, and the cited rural Nevada workforce report lists three psychiatrists and four dermatologists across the rural region. If you work a mine rotation or ranch schedule, taking a day off for a routine appointment is a real cost. A video visit with Wade’s Care First brings primary care, mental health and ADHD treatment, skin evaluations, weight management and sleep care to your phone or laptop at home, in town or at the end of a shift.
The practice is telehealth only, with no Elko office. When you need blood work, an X-ray or a prescription, the order goes to Northeastern Nevada Regional Hospital, the Quest or Labcorp site in town, or your local pharmacy.
Access in Elko County
Nevada’s 14 rural and frontier counties, with about 302,794 residents, have only 244 active physicians (3.3 percent of the state total), including 3 psychiatrists, 2 child and adolescent psychiatrists, 4 dermatologists and 11 general pediatricians across the entire rural region. Twelve of those 14 counties are single-county primary care HPSAs and 100 percent of rural and frontier residents live in a mental health HPSA. The state Primary Care Office notes travel time to a provider in rural and frontier areas can be several hours, and the state’s broadband office says gaps remain concentrated in rural and remote areas.
Nevada’s 2025 UNR Med physician workforce report finds the state would need 2,303 more physicians to reach the national per-capita average, including 251 family medicine doctors, 411 pediatricians and 105 psychiatrists; in 35 of 37 AMA specialty areas Nevada is below the national rate, and psychiatrists number 8.7 per 100,000 versus 12.2 nationally. UNR Med reporting has placed Nevada 45th among states for active physicians and 48th for primary care physicians per capita.
About 64.9 percent of Nevadans live in a federally designated primary care HPSA and 91.3 percent live in a mental health HPSA (15 of 17 counties are single-county mental health HPSAs). The state Primary Care Office notes all 17 counties carry some shortage designation; in cities a key driver is that many providers do not accept Medicaid, and in rural and frontier areas travel time to a provider can be several hours. Nevada’s uninsured rate was 11.4 percent in 2024 (47th of 50 states; US 8.2 percent).
Who this helps most in Elko
Telehealth makes the most sense for Elko-area miners and their families on rotating schedules, ranchers and workers in Spring Creek, Carlin, Wells and Jackpot who face a long drive for every visit, parents who need a pediatric check for a child five or older, and adults who have never been able to get in with a psychiatrist or dermatologist locally. It is also useful for seniors who want regular medication reviews without winter travel.
Emergencies still need the ER. Go to Northeastern Nevada Regional Hospital, or call 911, for chest pain, stroke signs, serious injury on the job, severe breathing trouble or a mental health crisis. For in-person primary and dental care on a sliding fee, Nevada Health Centers’ Elko Family Medical & Dental accepts walk-ins.
Local health considerations
- Mining work: gold mining is the base of Elko’s economy and most of Nevada’s gold is mined near Elko; Nevada led the nation in gold production ($7.658 billion in 2023). Long rotating shifts, dust, noise and heavy equipment make sleep, hearing, respiratory and musculoskeletal issues common.
- Elevation about 5,100 feet with hard winters: cold, dry air and wind can aggravate asthma, COPD and skin conditions, and winter storms can close I-80 and delay travel to Salt Lake City or Reno for care.
- Wildfire and range-fire smoke in late summer: fine particles worsen heart and lung disease; older adults, children and people with asthma are at higher risk.
Not ready yet?
Ask a Question first.
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.
Check appointment availability
Book a visit from Elko today.
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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.