Ownership: We could not find a clear official statement on whether non-physicians can own a medical practice in Wyoming, so confirm the structure with a healthcare attorney.
Certificate of need: Wyoming does not have a Certificate of Need program, so physician offices, ASCs and imaging centers do not need CON approval.
Nurse practitioners: AANP classifies Wyoming as full practice: NPs may evaluate, diagnose and prescribe under Board of Nursing licensure, and AANP's fact sheet lists no transition-to-practice requirement.
Who can own a medical clinic in Wyoming
We could not find a clear official statement on whether non-physicians can own a medical practice in Wyoming, so confirm the structure with a healthcare attorney.
Business entity and registration
Business entities are registered online with the Wyoming Secretary of State through WyoBiz. Confirm the details with the state board and a healthcare attorney.
Sources: sos.wyo.gov
Certificate of need in Wyoming
Wyoming does not have a Certificate of Need program, so physician offices, ASCs and imaging centers do not need CON approval.
Sources: ncsl.org
Licenses, registrations and state agencies
The Wyoming Department of Health's Healthcare Licensing and Surveys program requires a state license before opening facility types such as ambulatory surgical centers, freestanding emergency centers, free-standing diagnostic testing centers, birthing centers and hospitals. The ASC definition excludes the offices of private physicians, dentists and podiatrists, and no license type for ordinary physician offices is listed.
Sources: health.wyo.gov, health.wyo.gov, health.wyo.gov
Wyoming-specific requirements to know
Every practitioner who prescribes controlled substances in Wyoming must hold a Wyoming controlled substance registration from the Board of Pharmacy (in addition to DEA registration), and clinics and surgery centers that possess or dispense controlled substances need one too. Practitioners must search the Wyoming PDMP as required by W.S. 35-7-1060. Freestanding emergency centers and ASCs need a state facility license before seeing patients.
Sources: pharmacyboard.wyo.gov, pharmacyboard.wyo.gov, health.wyo.gov
Agencies you will deal with
- Medical board: Wyoming Board of Medicine
- Board of nursing: Board of nursing
- Board of pharmacy: Board of pharmacy
- Business registration: Wyoming Secretary of State, Business and UCC Center
- Facility licensing: Wyoming Department of Health, Healthcare Licensing and Surveys
- Medicaid enrollment: Wyoming Medicaid (Wyoming Department of Health)
Nurse practitioners and physician assistants
Nurse practitioners: AANP classifies Wyoming as full practice: NPs may evaluate, diagnose and prescribe under Board of Nursing licensure, and AANP's fact sheet lists no transition-to-practice requirement.
Sources: aanp.org, storage.aanp.org
Physician assistants: Wyoming PAs practice under physician supervision registered with the Wyoming Board of Medicine, which requires PA and supervising physician forms (or a group supervision form) each time supervision changes or is added.
Sources: wyomedboard.wyo.gov
Med spas, injectables and IV therapy in Wyoming
We could not find complete published guidance on med spas, injectables or IV therapy in Wyoming. Ask the medical board and the board of nursing directly, and confirm delegation and supervision with a healthcare attorney before offering these services.
Planning an aesthetic or IV business? See how to start a med spa and how to start an IV therapy business.
Step-by-step checklist in Wyoming
- Choose your structure and check ownership rules. Decide who will own the practice and confirm it fits Wyoming’s corporate practice of medicine rules. We could not find a clear official statement on whether non-physicians can own a medical practice in Wyoming, so confirm the structure with a healthcare attorney.
- Form the entity with the Wyoming Secretary of State, Business and UCC Center. Business entities are registered online with the Wyoming Secretary of State through WyoBiz. Confirm the details with the state board and a healthcare attorney.
- Get federal numbers. Apply for an EIN from the IRS, then a Type 2 NPI for the practice and Type 1 NPIs for each clinician through NPPES.
- Confirm licenses with the Wyoming Board of Medicine. Every physician needs a Wyoming license. Check the board’s rules for any practice registrations, supervision agreements or office requirements before opening.
- Check certificate of need and facility licensing. Wyoming does not have a Certificate of Need program, so physician offices, ASCs and imaging centers do not need CON approval.
- Register to prescribe. Register with the DEA for controlled substances and complete any Wyoming controlled substance registration and prescription monitoring program enrollment. Every practitioner who prescribes controlled substances in Wyoming must hold a Wyoming controlled substance registration from the Board of Pharmacy (in addition to DEA registration), and clinics and surgery centers that possess or dispense controlled substances need one too.
- Set up lab, safety and privacy basics. Get a CLIA certificate if you will run any lab tests, including waived tests, and put HIPAA privacy and security and OSHA policies in place.
- Enroll with Medicare, Medicaid and insurers. Enroll in Medicare through PECOS, enroll with Wyoming Medicaid (Wyoming Department of Health) and start commercial credentialing early, because payer enrollment often takes months.
- Plan staffing around NP and PA rules. AANP classifies Wyoming as full practice: NPs may evaluate, diagnose and prescribe under Board of Nursing licensure, and AANP's fact sheet lists no transition-to-practice requirement.
- Launch your marketing before opening day. Claim your Google Business Profile, publish a website with online booking and start ads and content four to eight weeks before you open, so the schedule is not empty on day one.
The national steps are explained in more detail in our guide to how to start a medical clinic, and costs are broken down in how much it costs to start a clinic.
Marketing a new clinic in Wyoming
New clinics usually fail on cash flow before they fail on care. The fastest fix is patients booked before opening day: a complete Google Business Profile, a website with online booking, local search ads and a few weeks of social content showing the team and the space. We run that launch for new clinics and keep it going once the doors open.
Plan your Wyoming launch with us →
Sources
- https://sos.wyo.gov/Business/Default.aspx
- https://www.ncsl.org/health/certificate-of-need-state-laws
- https://www.aanp.org/advocacy/wyoming
- https://storage.aanp.org/www/documents/no-index/state-fact-sheets/wyoming.pdf
- https://wyomedboard.wyo.gov/physician-assistants/changeadd-supervision
- https://health.wyo.gov/aging/hls/
- https://health.wyo.gov/aging/hls/facility-types/ambulatory-surgical-center-wyoming-licensure-information/
- https://health.wyo.gov/aging/hls/facility-types/freestanding-emergency-center/
- https://pharmacyboard.wyo.gov/licensing/controlled-substance-reg
- https://pharmacyboard.wyo.gov/pdmp