CRNA · Wyoming

Supervision Agreement for Certified Registered Nurse Anesthetists in Wyoming

No. Certified Registered Nurse Anesthetists practice independently here. Wyoming does not require one.

Practice authorityIndependent practice
Written agreementNo agreement required
What Wyoming calls itNo instrument required
Research date2026-09-03

CRNAs are one of Wyoming's four APRN roles under the Consensus Model — licensed independent practitioners with no physician supervision or agreement required, unlike states (e.g. UT) that carve CRNAs out of prescriptive authority or independence.

What the supervision must look like

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 — Wyoming APRN-CRNAs are independent practitioners under the Consensus Model.

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); scope is typically periprocedural/anesthesia-related in practice.

Written agreement

Not required

Unconditional — Wyoming does not require a physician agreement for CRNAs.

Practice ownership (corporate practice of medicine)

Licensee-only ownership required — Single-profession professional corporation under W.S. § 17-3-101 — a CRNA may independently own a nursing corporation.

Legal sources for these rules (2)

What a supervising physician costs here

Typical monthly cost in Wyoming

$500$600

Estimate for one Certified Registered Nurse Anesthetist. 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.