Practice Agreement · NP
Nurse Practitioner Practice Agreement in Wyoming
Wyoming law does not require a Nurse Practitioner to hold a named agreement with a physician. Practices still use one to define the working relationship; here is what it covers and what the state does require.
Wyoming adopted the APRN Consensus Model in 2007 and is a longstanding full-practice-authority state — NPs diagnose, treat, and prescribe with no physician oversight/collaboration agreement required in any practice setting.
What a Nurse Practitioner practice agreement covers in Wyoming
Governed by the Wyoming State Board of Nursing and the Wyoming State Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
Wyoming does not require the Nurse Practitioner to enter into a collaboration or supervision agreement with a physician. The Nurse Practitioner practices independently within the Nurse Practitioner's role, population focus, and national certification, consistent with Wyo. Stat. Ann. § 33-21-120 et seq. and applicable Wyoming State Board of Nursing rules.
This Agreement's terms regarding the Nurse Practitioner accordingly serve to define the working relationship, referral pathways, and any Medical Director oversight between the Parties, and are not themselves required by Wyoming law as a condition of the Nurse Practitioner's authority to practice.
- The agreement on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.
Statutes and rules cited
- Wyoming Pharmacy Act Rules and Regulations, Chapter 20, Collaborative Practice Regulations (promulgated under Wyo. Stat. Ann. §§ 33-24-101 through -301)regulation
Wyoming Board of Pharmacy rule (filed with the Wyoming Legislature's rule-tracking system) setting the mandatory content, Board-approval process, and scope limits for a pharmacist collaborative practice agreement conducting medication therapy management.
Terms it has to carry
Ratio, proximity, chart review, meeting and prescribing terms the agreement has to carry, from the state's supervision rules.
Proximity
No proximity requirement
No supervising/collaborating physician relationship is required — APRNs 'may provide care in all settings' under Wyoming's Consensus-Model framework.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
APRNs may prescribe/administer/dispense medications including controlled substances, EXCEPT Schedule I drugs (W.S. 35-7-1013, -1014). Requires a Wyoming Controlled Substance Registration.
Written agreement
Not required
Unconditional — no collaborating-physician agreement of any kind is required for APRN/NP licensure or practice in Wyoming.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional corporation under W.S. § 17-3-101 — capital stock must be owned exclusively by persons licensed in that same profession; an NP may independently own a single-profession nursing corporation.
Legal sources for these rules (3)
About Wyoming's rules
Wyoming is a full-independence state for ALL FOUR APRN roles (NP, CRNA, CNM, CNS) under the APRN Consensus Model — no supervision/collaboration agreement required. PAs are separate: permanent physician supervision under W.S. 33-26, capped at 3 PAs per physician absent Board-approved good cause (W.S. 33-26-504) — one of the few explicit numeric PA ratio caps on file.
Other clinicians in Wyoming: see the state overview.