Physician duties · CNS · Wyoming
Signing for a Clinical Nurse Specialist in Wyoming: what the physician takes on
No agreement is required, so the terms are whatever you both negotiate. Clinical Nurse Specialists practice independently in Wyoming, so any agreement is voluntary.
CNSs are one of Wyoming's four APRN roles under the Consensus Model — licensed independent practitioners with no physician supervision or agreement required.
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
No physician-oversight relationship required.
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
Same Schedule II-V framework as other APRN roles (Schedule I excluded).
Written agreement
Not required
Unconditional — Wyoming does not require a physician agreement for CNSs.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Single-profession professional corporation under W.S. § 17-3-101 — a CNS may independently own a nursing corporation.
Legal sources for these rules (1)
What physicians charge for this role
Typical monthly compensation in Wyoming
$500 – $600
Estimate for one Clinical Nurse Specialist. Standard-tier state.
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.