052-5 Wyo. Code R. § 5-12 - [Effective until 4/4/2024] Physician Assistant Fees
Application and license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), temporary license (if granted) pending completion and review of licensure application at next board meeting, and initial license (if granted)]......$200.00
Application to convert from public health emergency licensure exemption to full, unrestricted physician assistant licensure (pursuant to Ch. 1, Sec. 7(d)(i)(D) of these Rules) and initial license fee [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), temporary license (if granted) pending completion and review of licensure application at next board meeting, and initial license (if granted)] $100.00
Paper form license application processing fee...................................$25.00
Annual renewal of license.......................................................$80.00
Paper form license renewal processing fee......................................$10.00
License renewal grace period surcharge........................................$50.00
Reactivation of license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), and temporary license (if granted) pending completion and review of the licensure application at the next board meeting, and initial license (if granted)]......$100.00
Reinstatement of license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), and license (if reinstatement is granted) through December 31st. Costs may also be imposed in addition to the reinstatement fee.]......$150.00
Extension of temporary license...................................................$25.00
Volunteer license..............................................................$15.00
Supervisor change fee..........................................................$10.00
Emeritus license........................................................No charge
Notes
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