Healthcare Recruiting
Wyoming PA License 2026: Physician Assistant Requirements, FPA Authority, and Salary
Wyoming physician assistants practice under Full Practice Authority — no mandatory supervision agreement filing with the Wyoming Board of Medicine. Wyoming has no state income tax, providing a meaningful net compensation advantage. Cheyenne Regional Medical Center and Wyoming Medical Center (Casper) are the two largest PA employers; the state's sparse geography and small population create persistent rural PA shortages with strong recruitment incentives.
Practice Model: Full Practice Authority (FPA)
- No supervision agreement required to be filed with the Wyoming Board of Medicine
- Collaborative practice determined at employer/practice level
- Prescriptive authority for Schedule II–V included (DEA registration required separately)
- No state income tax — among the strongest net-compensation states nationally
Application Requirements
- Active NCCPA certification
- Accredited PA program graduation verification
- Background check via Wyoming Board of Medicine
- Application fee ~$200
Processing Timeline
5–7 weeks typical; approximately 7–8 weeks total with concurrent DEA.
PA Salary in Wyoming (2026)
| Setting | Median Base | Typical Sign-On |
|---|---|---|
| Hospital / Inpatient (Cheyenne) | $112,000 | $8,000–$18,000 |
| Hospital / Inpatient (Casper) | $110,000 | $8,000–$16,000 |
| Surgical First-Assist | $122,000 | $10,000–$20,000 |
| Primary Care / Rural (HPSA-eligible) | $108,000 | $8,000–$15,000 + loan repayment |
Top PA Employers in Wyoming
Cheyenne Regional Medical Center (SE Wyoming flagship, Level II trauma), Wyoming Medical Center (Casper — central WY hub, Level II trauma), Banner Health Wyoming (Lander, Cody, Riverton — rural network), and Sheridan Memorial Hospital (northern WY) are the primary systems. Wyoming's frontier designations across most rural counties create strong NHSC loan repayment eligibility for qualifying sites.
What We See at Ava Health
Wyoming's no-income-tax advantage and FPA model make it attractive for PAs seeking high net income in a low-COL environment. The state's small total PA workforce means individual positions carry significant recruitment urgency — sign-on packages and loan repayment are frequently stacked. Outdoor-recreation quality of life (mountains, skiing, national parks) is a genuine recruitment differentiator.
Related: NP License Wyoming 2026, PA Salary by State 2026, Healthcare Recruiting in Wyoming 2026.
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