MARLON HYLTON DNP, APRN, FNP-BC
NPI 1013315803
Nurse Practitioner - Family in Mount Vernon, NY

Active since December 11, 2014PECOS EnrolledAccepts Medicare Assignment
100 STEVENS AVE, MOUNT VERNON, NY 10550(914) 685-3131(914) 685-3141 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marlon Hylton Dnp, Aprn, Fnp-bc NPPES

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

MARLON HYLTON DNP, APRN, FNP-BC (NPI 1013315803) is an individual family provider in Mount Vernon, New York, licensed in New York (F342924-01) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013315803
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARLON HYLTONCredential: DNP, APRN, FNP-BC
Location Address100 STEVENS AVEMount Vernon, NY 10550-2600
Mailing Address250 S 5th AveMount Vernon, NY 10550-3841 · (914) 471-6248
Fax(914) 685-3141
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 11, 2014
Last NPPES UpdateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1013315803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F342924-01
100 STEVENS AVE, Mount Vernon, NY 10550

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marlon Hylton Dnp, Aprn, Fnp-bc 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 ID1759622996
PECOS Enrollment IDI20190416001842
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Marlon Hylton reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
100 STEVENS AVE
Mount Vernon, NY 10550
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
Nephrology
206 E. 76TH ST. SUITE M2
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
358 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10550 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 10

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

Obstetrics & Gynecology
100 STEVENS AVE, 7TH FLOOR
MOUNT VERNON, NY 10550
Social Worker
100 STEVENS AVE, SUITE 1
MOUNT VERNON, NY 10550
Family Medicine
100 STEVENS AVE, STE 5A
MOUNT VERNON, NY 10550
Pharmacy (Community/Retail Pharmacy)
100 STEVENS AVE
MOUNT VERNON, NY 10550
Early Intervention Provider Agency
100 STEVENS AVE
MOUNT VERNON, NY 10550
Social Worker (Clinical)
100 STEVENS AVE
MOUNT VERNON, NY 10550
Clinic/Center (Primary Care)
100 STEVENS AVE
MOUNT VERNON, NY 10550
Family Medicine
100 STEVENS AVE
MOUNT VERNON, NY 10550

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 Marlon Hylton's NPI number?

The NPI number for Marlon Hylton is 1013315803. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Where is Marlon Hylton located?

Marlon Hylton practices at 100 Stevens Ave, Mount Vernon, NY 10550. The listed phone number is (914) 685-3131.

What is Marlon Hylton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marlon Hylton enrolled in Medicare?

Yes. Marlon Hylton 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.

Which organizations bill Medicare for Marlon Hylton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlon Hylton reassigns Medicare benefits to 7 organizations: Point To Point Nurse Practitioner In Family Health PC (Mount Vernon, NY), Montefiore Medical Center (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Essen Medical Associates, PC (Bronx, NY) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlon Hylton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marlon Hylton was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.