1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Nurse Practitioner
  6. NPI Profile

MICAL ISALY PACHECO MSN, APRN-CNP, PM HN
NPI 1396429098
Nurse Practitioner - Psychiatric/Mental Health in Tulsa, OK

Active since June 13, 2023PECOS EnrolledAccepts Medicare Assignment
4922 E 73RD ST, TULSA, OK 74136(918) 340-6460(918) 926-3376 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Jan 5, 2026, Jun 13, 2023 (3 updates tracked since 2023).

About Mical Isaly Pacheco Msn, Aprn-cnp, Pm Hn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAL ISALY PACHECO MSN, APRN-CNP, PM HN (NPI 1396429098) is an individual psychiatric/mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (226790) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2025).

NPPES Registry Identity

NPI1396429098
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICAL ISALY PACHECOCredential: MSN, APRN-CNP, PM HN
Location Address4922 E 73RD STTulsa, OK 74136-7007
Mailing Address4922 E 73rd StTulsa, OK 74136-7007 · (918) 340-6460 · Fax (918) 926-3376
Phone(918) 340-6460
Fax(918) 926-3376
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2025
Enumeration DateJune 13, 2023
Last NPPES UpdateFebruary 26, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1396429098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OK · 226790
4922 E 73RD ST, Tulsa, OK 74136
Open in Google Maps ↗

Other Identifiers 1

Medicaid201164390AOK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mical Isaly Pacheco Msn, Aprn-cnp, Pm Hn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032694930
PECOS Enrollment IDI20260330000573
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIE LYNN RATLIFF
Licensed Practical Nurse
4922 E 73RD ST
TULSA, OK 74136
Tulsa County (918) 340-6460
MIND REJUVENATION, LLC.
Psychiatry & Neurology (Psychiatry)
4922 E 73RD ST
TULSA, OK 74136
Tulsa County (918) 392-4550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mical Pacheco's NPI number?

The NPI number for Mical Pacheco is 1396429098. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Where is Mical Pacheco located?

Mical Pacheco practices at 4922 E 73rd St, Tulsa, OK 74136. The listed phone number is (918) 340-6460.

What is Mical Pacheco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mical Pacheco enrolled in Medicare?

Yes. Mical Pacheco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mical Pacheco was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.