Protocol · NP · Wyoming
Practice Protocol for Nurse Practitioners in Wyoming
Nurse Practitioners practice independently in Wyoming. A practice protocol is voluntary; here is what one 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 voluntary Nurse Practitioner protocol covers in Wyoming
Wyoming requires no written protocol for nurse practitioners. These are the clauses a practice includes when it chooses to put one in writing. The Wyoming State Board of Nursing and the Wyoming State Board of Pharmacy governs nurse practitioners here.
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.
- A voluntary protocol also carries 1 scope, 1 education and 1 registration clauses, authored in the document itself.
What Wyoming does require
The supervision and prescribing rules that apply to nurse practitioners regardless of any protocol.
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
Meeting cadence
Not codified
Prescriptive authority
No agreement needed to prescribe · 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.
Sources for the supervision 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.