Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mical Isaly Pacheco, MSN, APRN-CNP, PMHN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1396429098

Mical Isaly Pacheco, MSN, APRN-CNP, PMHN is a Nurse Practitioner in Tulsa, Oklahoma. Graduated from Saint Louis University School of Medicine in 2025, 1 year ago. Practices with Mind Rejuvenation, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Trained at
Saint Louis University School of Medicine
Licensed in
OK
In the registry since
2023
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

4922 E 73rd St
Tulsa, OK 74136-7007
Phone: (918) 340-6460
Fax: (918) 926-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 226790 (OK)

Record details

NPI number1396429098
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APRN-CNP , PMHN
Sole proprietorYes
NPI enumeratedJune 13, 2023
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Mind Rejuvenation, Llc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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