
Pediatric Care
How Pediatric Care Sets Kids Up for Lifelong Wellness
See how ongoing pediatric care can support development, Preventive Care, and changing health needs as children grow.
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Sparks
Nevada · Video visits statewide
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Wade’s Care First sees Sparks 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 Sparks.
Telehealth only. No office in Sparks: you join from wherever you are in Nevada. 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 WorksFor blood work in Sparks, Quest Diagnostics has a patient service center on Sparks Boulevard and Labcorp has one on N. McCarran Boulevard; several more draw sites are a short drive away in Reno. Renown Health’s X-Ray & Imaging center at Vista takes walk-in X-rays and schedules CT, ultrasound and MRI, with Saturday hours, and Northern Nevada Medical Center provides hospital-based imaging. Prescriptions go electronically to the pharmacy you pick; Walgreens has multiple Sparks stores, and if you are a Community Health Alliance patient its pharmacy offers lower-cost fills. Bring your order number and insurance card, and if a test requires fasting, book the earliest slot the draw site offers.
Quest Diagnostics has a Sparks patient service center at 5318 Sparks Blvd. Labcorp lists one Sparks site at 1311 N. McCarran Blvd. Additional Quest and Labcorp sites are in Reno, and Community Health Alliance’s Sparks Health Center serves its own patients.
Renown Health X-Ray & Imaging, Vista, in Sparks, offers CT, walk-in and scheduled X-ray, ultrasound and MRI (weekday and Saturday hours). Hospital imaging is available at Northern Nevada Medical Center and the Reno hospitals.
Walgreens (multiple stores). Community Health Alliance operates low-cost pharmacies for its patients.
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 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 Sparks, such as Northern Nevada Medical Center (UHS), 2375 E. Prater Way, Sparks, the city’s hospital with emergency services, Renown Regional Medical Center, Reno, the region’s largest hospital, a few miles west and Saint Mary’s Regional Medical Center (Prime Healthcare), 235 W. 6th St., Reno, 352 beds, 24-hour emergency department.
Quest Diagnostics has a Sparks patient service center at 5318 Sparks Blvd. Labcorp lists one Sparks site at 1311 N. McCarran Blvd. Additional Quest and Labcorp sites are in Reno, and Community Health Alliance’s Sparks Health Center serves its own patients. 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.
Northern Nevada Medical Center (UHS), 2375 E. Prater Way, Sparks, the city’s hospital with emergency services, Renown Regional Medical Center, Reno, the region’s largest hospital, a few miles west and Saint Mary’s Regional Medical Center (Prime Healthcare), 235 W. 6th St., Reno, 352 beds, 24-hour emergency department. 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.
Community Health Alliance, Sparks Health Center, 2244 Oddie Blvd. (plus the Nell J. Redfield Health Center in nearby Sun Valley, 5055 Sun Valley Blvd.) and Northern Nevada HOPES and Nevada Health Centers Willow Street Health Center in Reno are a short drive away 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.
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.
Parts of Washoe County are primary care HPSAs and the county is within Nevada’s mental health HPSA coverage; check HRSA HPSA Find for a Sparks address. 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 Pediatric Care Questions All Women’s Health Questions All Preventive 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.
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Historic Glendale School at Victorian Square in Sparks, Nevada.
Photo: Ammodramus / Wikimedia Commons · Source · CC0. Resized for display.
Reno’s neighbor to the east at about 4,400 feet, with a rail-and-warehouse industrial base and fast-growing suburbs toward Spanish Springs.
Sparks has its own hospital and a growing set of clinics, but many residents still drive into Reno for a doctor, and new-patient waits stretch across the whole Truckee Meadows. A video visit with Wade’s Care First lets you handle routine primary care, prescription refills and adjustments, ADHD and mental health follow-up, weight management, and skin or sleep concerns from home in Spanish Springs or a lunch break at a Vista Boulevard warehouse.
Appointments are scheduled around your shifts rather than clinic hours. The practice is telehealth only and has no Sparks office; lab orders, imaging referrals and prescriptions are directed to Sparks or Reno facilities you choose, and you only go in person for the parts that truly require it.
Sparks relies on Washoe County’s physician supply (21.7 percent of the state’s active physicians) and on Reno’s hospitals for specialty and trauma care. 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).
This works well for Sparks residents on rotating shifts at warehouses, rail yards, casinos or hospitals, parents in Spanish Springs who want a pediatric visit for a child five or older without a trip across town, older adults managing several daily medications, and anyone who has put off care because getting a Reno appointment felt like a project. If you lack insurance, you will know the cost first.
Telehealth is not for emergencies. Call 911 or go to Northern Nevada Medical Center’s emergency department, or to Renown Regional or Saint Mary’s in Reno, for chest pain, stroke signs, severe breathing trouble, significant injury or a mental health crisis. During smoke events, anyone with asthma or COPD who is not improving with their inhaler should be seen in person.
Medicaid: Nevada Medicaid and Nevada Check Up (CHIP) are run by the Nevada Division of Health Care Financing and Policy under the Nevada Health Authority. Effective January 1, 2026, Medicaid managed care expanded from Clark and Washoe counties to all 17 Nevada counties; the state expected roughly 75,000 rural members to move into managed care (about a 10 percent increase). Roughly 126,000 people statewide remain in fee-for-service Medicaid, including children in foster care, juvenile justice and child welfare systems, people with disabilities, seniors 65 and older, and people served through Nevada’s three home- and community-based waiver programs. Rural members were auto-assigned to a plan by ZIP code, with a plan-selection deadline of December 26, 2025; members can still change plans within the state’s rules. Medicaid eligibility rules (work, school and volunteer requirements) are scheduled to change January 1, 2027.
Five managed care organizations hold 2026-2030 contracts: Anthem Blue Cross and Blue Shield Healthcare Solutions (Elevance; the award notice listed it as Community Care Health Plan of Nevada), CareSource Nevada, Health Plan of Nevada (UnitedHealthcare), Molina Healthcare of Nevada, and SilverSummit Healthplan (Centene). Per the March 2025 intent-to-award, CareSource and SilverSummit serve Clark, Washoe and all rural counties; Anthem and Molina serve Clark and Washoe; Health Plan of Nevada serves Clark County only. Rural members (including Carson City, Elko and Nye counties) therefore choose between CareSource and SilverSummit.
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.