Photo of April "Nikki" Wade

April "Nikki" Wade

Nurse practitioner · Family medicine

15+ years of experience

Menopause Society Certified Practitioner

About Wild Roots Wellness Center

Nikki Wade runs a small cash-pay hormone and metabolic practice in Midland, and she sees women for perimenopause and menopause alongside men's testosterone care and medical weight loss. New patients start with two visits. The first covers your history and symptoms and orders labs, and the second, about a week after results, goes over findings and sets the plan. Both can be done in the office or by video. She offers estrogen, progesterone and testosterone in many forms, including patches, gels, pills, injections, vaginal products and pellets. Care after the consult runs as ongoing programs billed quarterly rather than single visits, and the practice expects you to keep your own primary care provider for screenings like mammograms and pap smears.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Vaginal estrogen
  • Testosterone
  • Hormone pellets
  • Weight medication
  • Supplements & lifestyle
  • Lab testing

Particular focus

  • Weight & metabolism

Cost and insurance

Insurance

Doesn’t accept insurance

Ask whether they provide receipts for out-of-network reimbursement.

Can’t see patients on Medicare, even paying out of pocket.

Self-pay

Hormone consultation (female), in office or telemed
$350

Lab work can often be billed to your insurance or done through a discounted cash-pay lab.

Verified September 2026.

Qualifications

FNP, MSCP