Individual provider Active NPI

Michael Clyde Palafox, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1194670604
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11045675 Issued in FL
Practice address
1148 Stanton Shadow LN
Apopka, FL 32712-5485
Phone
(407) 493-3144
NPI assigned
Mar 2, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11045675 FL Primary
Psychiatry Physician 2084P0800X APRN11045675 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4056124 KY

Addresses

Primary practice location

1148 Stanton Shadow LN
Apopka, FL 32712-5485

Mailing address

1148 Stanton Shadow LN
Apopka, FL 32712-5485
Phone (407) 493-3144

Other practice location 1

4600 McAuley Pl
Blue Ash, OH 45242-4733
Phone (513) 853-8520

Other practice location 2

300 N Ronald Reagan Blvd Ste 204
Longwood, FL 32750-4162
Phone (407) 974-6539

Other practice location 3

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (513) 853-8520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260506004306 FL Practitioner - Nurse Practitioner 1557839644 Reassigns benefits to 2 organizations
I20260622000497 OH Practitioner - Nurse Practitioner 1557839644
I20260623002076 KY Practitioner - Nurse Practitioner 1557839644

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1070 Montgomery Rd
Suite 2247
Altamonte Springs, FL 32714-7420

1148 Stanton Shadow LN
Apopka, FL 32712-5485

1530 Lone Oak Rd
Paducah, KY 42003-7900

206 Park Place Blvd
Kissimmee, FL 34741-2344

4600 McAuley PL
Blue Ash, OH 45242-4765

4600 McAuley PL
Suite 600
Blue Ash, OH 45242-4778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11045675FLMDPsychiatric/Mental Health Nurse Practitioner
4056124KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2026 Accepting new patients

Locations

300 N Ronald Reagan Blvd
Ste 204
Longwood, FL 32750
Phone (407) 974-6539

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1194670604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 STANTON SHADOW LN",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125485",
            "telephone_number": "407-493-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 STANTON SHADOW LN",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125485",
            "telephone_number": "407-493-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 McAuley Pl",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424733",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Ronald Reagan Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327504162",
            "country_code": "US",
            "telephone_number": "407-974-6539",
            "fax_number": "407-550-7174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Lone Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037901",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALAFOX",
        "first_name": "MICHAEL",
        "middle_name": "CLYDE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11045675",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "APRN11045675",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4056124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.