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Wyoming

Wyoming Collaborating Physician Jobs – Top Opportunities for Licensed Physicians

Wyoming is the most provider-independent state in the country. NPs have full practice authority, and following landmark Senate File 0033 (effective January 1, 2022), PAs practice completely independently with no formal collaboration requirement — no hours threshold, no agreement, no Board approval needed. Wyoming is the only state in the nation where both NPs and PAs have immediate, unconditional full independence.

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🏔 NP full practice authority — no physician collaboration required ✅ PA full independence — no agreement, no hours threshold (SF 0033, Jan 2022) 🌐 Most provider-independent state in the U.S.
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Wyoming: Full Independence for Both NPs and PAs — No Physician Collaboration Required

Wyoming Nurse Practitioners practice with full independent authority under the Wyoming Board of Nursing — diagnosing, prescribing (including controlled substances), signing DNR orders and death certificates, and operating independent practices without any physician involvement.

Wyoming Physician Assistants achieved full unconditional independence via Senate File 0033, signed by Governor Gordon and effective January 1, 2022. Wyoming PAs practice medicine without any required relationship with a physician — no collaboration agreement, no hours threshold, no Board approval, and no supervisory protocol. The degree of collaboration, if any, is determined entirely at the PA’s own discretion at the practice level.

There is no mandatory collaboration requirement for NPs or PAs in Wyoming under current law.

Jan 1, 2022
SF 0033 effective date — Wyoming PAs gained full unconditional independence with no physician relationship requirement
0 hours
Hours of supervised practice required before Wyoming PAs may practice independently — immediate full independence from licensure
Practice level
The degree of any collaboration is determined entirely at the practice level — no statutory minimum collaboration requirements
Wyoming Independence Framework

Both NPs and PAs Are Fully Independent in Wyoming — No Exceptions, No Thresholds

Wyoming is unique in the fifty-state series: the only state where both provider types achieve full independence immediately upon licensure, with no hours-based pathway, no waiver process, and no supervisory period.

Full Practice Authority — Immediate

Wyoming Nurse Practitioners

Wyoming NPs practice with full independent authority — evaluating and diagnosing patients, ordering and interpreting tests, prescribing legend medications and controlled substances (Schedules II–V), signing DNR orders and death certificates, and operating independent practices. No collaboration agreement, no physician supervision, no transition period. The Wyoming Board of Nursing has regulatory oversight. NPs must complete 3 hours of CE related to prescribing controlled substances to maintain prescriptive authority.

Full Independence — Immediate (SF 0033, Jan 2022)

Wyoming Physician Assistants

Following SF 0033 (signed April 2021, effective January 1, 2022), Wyoming PAs practice medicine with no required relationship with a physician or other provider. The degree of collaboration is determined entirely at the practice level (W.S. 33-26-502). PAs may collaborate and refer as clinically indicated, but no legal collaboration agreement is required. PAs can fulfill any physician signature requirement under W.S. 33-26-502(e). Governed by the Wyoming Board of Medicine. Wyoming is the only state with immediate, unconditional PA full independence — no hours threshold of any kind.

Understanding Wyoming

Wyoming’s Landmark PA Reform Was the Most Comprehensive in the Nation — and Remains Unique Among All 50 States

Senate File 0033, sponsored by Senator Fred Baldwin (himself a PA-C), was described by AAPA as “historic improvements to PA practice.” The legislation repealed all requirements for Wyoming PAs to have any specific relationship with a physician or other provider to practice medicine. It also explicitly recognized PAs’ ability to practice medicine consistent with their education and competence.

Unlike every other PA-independent state in the series — Montana (8,000 hours), New Hampshire (8,000 hours with waiver), North Dakota, Utah (10,000 hours), Iowa — Wyoming set no hours threshold. A newly licensed Wyoming PA with zero post-graduate hours may practice fully independently from the first day of licensure. This is a singular distinction in the national PA landscape.

Wyoming NPs and PAs who want physician clinical support on a voluntary basis — for quality assurance, clinical consultation, protocol development, or as a medical director — may still engage a physician in an advisory capacity. These are not legally required relationships and are structured at the practice level. If you are a Wyoming provider looking for voluntary physician clinical support, we can help connect you with Wyoming-licensed physicians who serve in advisory roles.

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Wyoming Legal Framework

Wyoming PAs practice medicine without any required relationship with a physician or other provider. Senate File 0033, effective January 1, 2022, repealed all prior physician relationship requirements for Wyoming PAs. No collaboration agreement, no supervisory protocol, no hours threshold. SF 0033 (2021 Wyo. Leg.); W.S. 33-26-501 et seq.

The degree of collaboration shall be determined at the practice level, which may include decisions made by the employer, group, hospital service, or credentialing/privileging systems. PAs may collaborate with or refer to appropriate healthcare team members as clinically indicated — but this is best practice, not a legal requirement. W.S. 33-26-502

Wyoming PAs may fulfill any requirement for a physician signature, certification, stamp, verification, affidavit, endorsement, or other acknowledgement — unless otherwise provided by law. This allows Wyoming PAs to independently manage documentation requirements that typically require a physician in other states. W.S. 33-26-502(e)

Wyoming NPs practice with full independent authority under the Wyoming Board of Nursing — including prescribing controlled substances (Schedules II–V), signing DNR orders and death certificates, and all other APRN functions. No collaboration agreement, no supervising physician, no transition requirement. Wyo. Stat. § 33-21-119 et seq.; Wyoming Board of Nursing

Wyoming is one of six states where PAs may own and operate independent practices without any physician: Iowa, Montana (8,000 hrs), New Hampshire (8,000 hrs), North Dakota, Utah (10,000 hrs), Wyoming. Wyoming is unique: the only one with zero hours threshold — immediate full independence from first licensure day. W.S. 33-26-501; AAPA OTP tracker 2025

Voluntary Physician Roles in Wyoming

Wyoming NPs and PAs May Still Choose to Engage a Physician — Voluntarily

While no legal collaboration agreement is required in Wyoming, independent NP and PA practices may choose to engage a physician in a voluntary advisory or medical director capacity for quality assurance, clinical consultation, or protocol development.

Medical Director Role

Some Wyoming independent practices — medspas, IV hydration clinics, and wellness centers — choose to engage a physician as a voluntary Medical Director for quality oversight, protocol development, and clinical advisory support. This is not legally required but may be sought for clinical governance and credentialing purposes.

Quality Assurance Consultation

Independent Wyoming NP and PA practices may voluntarily engage physicians for periodic chart review and quality assurance. While not required by state law, some practices do this for insurance credentialing, payer requirements, or institutional accreditation purposes.

Clinical Consultation Partnership

Wyoming’s statute explicitly permits PAs to collaborate with and refer to physicians as clinically appropriate. Many Wyoming NPs and PAs maintain informal consultation relationships with physicians as a matter of professional practice — this is driven by patient care need, not legal obligation.

Credentialing & Payer Requirements

Some insurance networks and payer panels may require physician oversight or a medical director affiliation as a condition of credentialing for Wyoming NP and PA practices — even where state law does not. If your practice has payer-driven oversight requirements, we can connect you with a Wyoming-licensed physician for that role.

Multi-State Telehealth Practices

Wyoming NPs and PAs who practice in multiple states via telehealth may need collaboration arrangements for the other states they serve — even though no agreement is needed for Wyoming patients. We facilitate multi-state collaboration compliance for providers based in Wyoming who serve patients across state lines.

Out-of-State Collaboration for Neighboring Patients

Wyoming providers who see patients from neighboring states — Colorado, Montana, Idaho, Utah, Nebraska, South Dakota — may need to comply with those states’ collaboration requirements if telehealth services are delivered to patients in those jurisdictions. We help Wyoming providers navigate multi-state compliance.

Neighboring States

Are You a Physician Interested in Collaboration Opportunities in Nearby States?

While Wyoming requires no physician oversight, the six states bordering Wyoming all have active supplemental physician markets — some with substantial NP and PA demand.

Colorado (South)

NP 750-hour prescriptive authority mentorships and PA Supervisory Agreements for PAs under 5,000 hours. Physician must have active Colorado physical presence. Fast-growing Denver–Boulder–Fort Collins market.

Montana (North)

PA-only collaboration for PAs under 8,000 hours under HB 313 (2023). Lean framework — no chart review, no proximity, no ratio cap. One-time online training required. Billings, Missoula, Bozeman markets.

Utah (Southwest)

PA three-tier collaboration framework — Tier 1 (under 4,000 hrs) and Tier 2 (4,000–9,999 hrs) both require a collaborating physician. 10,000-hour independence threshold. No ratio cap. Salt Lake City corridor market.

Nebraska (East)

NP 2,000-hour Transition-to-Practice Agreements and permanent PA supervision under a 4-PA cap. Omaha and Lincoln metropolitan markets. Same/related specialty required for both tracks.

South Dakota (East)

NPs and PAs both have experience-based pathways to independence, with collaboration required during transition periods. Sioux Falls and Rapid City markets.

Idaho (West)

NPs have full practice authority. PAs require a physician collaborator in Idaho with a written agreement on file. Boise and eastern Idaho markets, including significant rural healthcare demand.

Wyoming Clinics

Wyoming Clinic Types We Work With for Voluntary Advisory Roles

While no legal collaboration is required in Wyoming, independent NP and PA practices across Cheyenne, Casper, Laramie, Gillette, and Jackson Hole sometimes seek voluntary physician advisory or medical director engagement for payer credentialing, quality assurance, or clinical governance.

💆Medical Spas
⚖️Weight Loss Centers
💉IV Hydration
💻Telehealth Platforms
🏥Primary Care
🧠Psychiatry Practices
⭐Specialty Clinics
🏔Rural / Frontier Care
Collaborating Physician Jobs and Physician Advisory Roles in Wyoming

Wyoming Collaborating Physician Jobs — Voluntary Advisory and Consulting Roles for Independent NP and PA Practices Statewide

Wyoming is the most provider-independent state in the country — both NPs and PAs practice with full unconditional independence. No mandatory collaboration requirement exists for either provider type. However, Wyoming still generates a meaningful market for voluntary physician jobs: physician advisor jobs and physician consulting jobs at NP and PA clinics seeking QA governance, payer credentialing, medical directorship, and multi-state telehealth compliance. For physicians with an active Wyoming license, Wyoming’s voluntary collaborating physician jobs market is accessible, fully remote, and well-structured.

Remote Physician Jobs — Voluntary Medical Director and QA Roles

Wyoming independent NP and PA clinics across Cheyenne, Casper, Laramie, and Jackson Hole voluntarily engage physicians in remote physician jobs as medical directors, QA consultants, and protocol advisors. These arrangements carry no statutory oversight requirement — they are structured entirely at the practice level and are fully remote. For physicians seeking remote physician jobs that generate income without any Board-mandated obligations, Wyoming’s voluntary advisory market is one of the cleanest available.

Part Time Physician Jobs — Payer Credentialing and Institutional Requirements

Some Wyoming insurance networks, hospital credentialing systems, and payer panels require physician oversight as a condition of provider credentialing — even where Wyoming state law requires nothing. These payer-driven requirements create consistent demand for part time physician jobs as medical directors and physician advisors at Wyoming NP and PA practices seeking broader insurance network participation.

Physician Consulting Jobs — Multi-State Telehealth Compliance

Wyoming NPs and PAs who serve patients in neighboring states via telehealth must comply with those states’ collaboration requirements for those patients. This cross-state compliance need creates consistent demand for physician consulting jobs from Wyoming-based providers navigating Colorado, Montana, Utah, Nebraska, and South Dakota collaboration requirements. Physician consulting jobs in this context cover protocol review, multi-state agreement structuring, and payer credentialing support.

Physician Advisor Roles for Wyoming Telehealth Platforms

Wyoming’s telehealth ecosystem generates demand for physician advisor jobs as clinical governance and QA oversight roles at platform level. These remote physician advisor jobs are fully remote, structured at the platform level with no WBOME filing obligation, and available to Wyoming-licensed and multi-state licensed physicians statewide.

CollaboratingPhysician.com can connect Wyoming-licensed physicians with voluntary advisory and consulting opportunities — physician advisor jobs, physician consulting jobs, and remote physician advisor jobs across Cheyenne, Casper, Laramie, and Jackson Hole. We also help Wyoming-based providers establish multi-state collaboration arrangements for neighboring states. Whether you are looking for voluntary collaborating physician jobs, remote physician jobs, or multi-state compliance support, we can help.

FAQ

Frequently Asked Questions — Wyoming

Do Wyoming NPs or PAs need a collaborating physician?
No. Wyoming is the most provider-independent state in the country for both NPs and PAs. Wyoming NPs have full practice authority and practice entirely independently. Wyoming PAs gained full independence via Senate File 0033, effective January 1, 2022, which repealed all requirements for PAs to have any specific relationship with a physician or other provider to practice medicine. No collaboration agreement, no supervision protocol, no hours threshold, and no Board approval is required for either NPs or PAs in Wyoming.
What did Wyoming’s SF 0033 change for PAs?
Senate File 0033, sponsored by Senator Fred Baldwin (himself a PA-C) and signed by Governor Mark Gordon in April 2021, made Wyoming the most PA-independent state in the nation. Prior to SF 0033, Wyoming PAs required a formal relationship with a physician to practice. The legislation repealed those requirements entirely, recognizing PAs’ ability to practice medicine consistent with their education and competence. The new law also explicitly states that PAs may collaborate with or refer to appropriate healthcare team members as clinically indicated — but this is voluntary, not mandated. The bill became effective January 1, 2022, and was celebrated by AAPA as “historic improvements to PA practice.”
How is Wyoming different from other PA-independent states?
Wyoming is the only state in the country with immediate, unconditional full independence for PAs — no hours threshold of any kind. Every other PA-independent state imposes an experience threshold before independence: Montana requires 8,000 hours, New Hampshire requires 8,000 hours (until January 2027), North Dakota and Iowa also have provisions, and Utah requires 10,000 hours. Wyoming set no threshold whatsoever — a newly licensed PA with zero post-graduate hours may practice fully independently in Wyoming from day one of licensure. This is a singular distinction in the national PA landscape.
Are there any situations in Wyoming where a physician is needed?
State law in Wyoming requires no physician involvement for either NPs or PAs. However, there are some practical situations where Wyoming providers may choose or need to engage a physician voluntarily: (1) Insurance credentialing — some payers or networks require physician oversight as a condition of credentialing, independent of state law. (2) Hospital privileging — hospital credentialing systems may have their own physician involvement requirements. (3) Multi-state telehealth — providers who treat patients in other states via telehealth must comply with those states’ collaboration requirements for those patients, even if Wyoming requires nothing. (4) Clinical preference — some providers choose voluntary physician consultation for quality assurance or clinical governance reasons.
Can Wyoming PAs sign prescriptions and certifications independently?
Yes. Under W.S. 33-26-502(e), a Wyoming PA may fulfill any requirement for a physician signature, certification, stamp, verification, affidavit, endorsement, or other acknowledgement — unless otherwise specifically provided by law. This means Wyoming PAs can independently sign documents that in other states would require a physician’s co-signature, including many clinical certifications, prescriptions, FMLA forms, and similar documentation.
What if I’m a Wyoming provider practicing in multiple states?
Wyoming’s independence applies only to patients seen in Wyoming. If you practice via telehealth or provide care to patients located in other states, you must comply with those states’ collaboration requirements for those patients — even if you are based in Wyoming. For example, a Wyoming PA treating a Colorado patient via telehealth must comply with Colorado’s PA collaborative agreement requirements for that patient encounter. We help Wyoming-based providers navigate multi-state compliance and establish collaboration arrangements for the jurisdictions where their patients are located.
What types of physician side jobs and physician advisor jobs are available in Wyoming?
Wyoming’s independent practice framework means no mandatory physician collaboration exists — but voluntary physician income roles are available. Physician advisor jobs at NP and PA clinics for payer credentialing and QA governance are the most common. Physician consulting jobs for multi-state telehealth compliance structuring are in active demand from Wyoming-based providers serving patients in neighboring states. Remote physician advisor jobs with Wyoming telehealth platforms are also available as fully remote, practice-level arrangements. All of these are physician side jobs — voluntary, bounded, and structured to generate supplemental income without any Board-mandated oversight obligations. For physicians with active Wyoming licenses seeking part time physician jobs in the Wyoming market, the voluntary advisory sector is the primary income pathway.
Are Wyoming remote physician jobs genuinely remote — and what does ‘voluntary’ mean in practice?
Yes — all Wyoming physician advisory and consulting arrangements are fully remote by nature, since they carry no Board oversight requirements and no statutory presence obligations. ‘Voluntary’ means the physician and NP or PA enter the arrangement by mutual agreement for legitimate clinical governance, credentialing, or compliance purposes — not because state law requires it. In practice, voluntary physician advisor roles in Wyoming are structured as part time physician jobs with defined scope, monthly retainer or per-review compensation, and no WBOME filing. For physicians evaluating remote physician jobs in Wyoming, the key distinction is that the arrangement’s obligations are defined entirely in the agreement — giving both parties maximum flexibility to structure the role around actual clinical governance needs rather than regulatory mandates.
What types of physician side jobs and physician advisor jobs are available in Wyoming?
Wyoming generates voluntary physician income roles rather than mandatory ones. Physician advisor jobs at NP and PA clinics for payer credentialing and QA governance are the most common. Physician consulting jobs for multi-state telehealth compliance structuring are in active demand from Wyoming-based providers serving patients in neighboring states. Remote physician advisor jobs with Wyoming telehealth platforms are also available as fully remote, practice-level arrangements. All are physician side jobs — voluntary, bounded, supplemental income that generates revenue without any Board-mandated oversight obligations. For physicians with active Wyoming licenses seeking part time physician jobs in the Wyoming market, the voluntary advisory sector is the primary income pathway available.
Are Wyoming remote physician jobs genuinely remote — and what does voluntary mean in practice?
Yes — all Wyoming physician advisory and consulting arrangements are fully remote by nature, since they carry no Board oversight requirements and no statutory presence obligations. Voluntary means the physician and NP or PA enter the arrangement by mutual agreement for legitimate clinical governance, credentialing, or compliance purposes — not because state law requires it. In practice, voluntary physician advisor roles in Wyoming are structured as part time physician jobs with defined scope, monthly retainer or per-review compensation, and no WBOME filing. Remote physician advisor jobs at Wyoming telehealth platforms similarly carry no Board filing obligation. For physicians evaluating collaborating physician jobs — remote physician jobs in Wyoming, the advisory and consulting market is the available income pathway — and it is fully remote.

Looking for Collaboration Opportunities in a Neighboring State?

Wyoming’s full independence means no mandatory collaboration is needed here — but if you’re a Wyoming-licensed physician interested in collaboration income in neighboring Colorado, Montana, Utah, Nebraska, or South Dakota, or a Wyoming provider who needs multi-state compliance support, we’re here to help.

Explore Collaboration Opportunities

Or call us at +1 (817) 857-2726 to discuss your situation today.

Serving NPs, PAs, and physicians across Wyoming, including Cheyenne, Casper, Laramie, Gillette, Rock Springs, Sheridan, Green River, Evanston, Riverton, Jackson, Cody, Rawlins, Lander, Torrington, Powell, Douglas, Worland, Buffalo, Wheatland, Thermopolis, and surrounding communities statewide.

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