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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARLYNN CEREDO HICKSON
NPI 1740149335
Physician Assistant - Surgical in Arlington, TX

Active since January 19, 2026PECOS Enrolled
4401 PARK SPRINGS BLVD STE 130, ARLINGTON, TX 76017(817) 960-9120(817) 466-7289 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Mar 4, 2026, Jan 19, 2026 (3 updates tracked since 2026).

About Marlynn Ceredo Hickson NPPES

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

MARLYNN CEREDO HICKSON (NPI 1740149335) is an individual surgical provider in Arlington, Texas, licensed in Texas (PA20030) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1740149335
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARLYNN CEREDO HICKSON
Location Address4401 PARK SPRINGS BLVD STE 130Arlington, TX 76017-1935
Mailing Address1935 Medical District DrDallas, TX 75235-7701
Phone(817) 960-9120
Fax(817) 466-7289
Sole ProprietorNo
Enumeration DateJanuary 19, 2026
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1740149335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA20030
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License PA20030 (TX)
4401 PARK SPRINGS BLVD STE 130, Arlington, TX 76017
Open in Google Maps ↗

Secondary Practice Location 1

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (844) 424-4537

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlynn Ceredo Hickson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

TREBRISA THOMAS ATC
Specialist/Technologist (Athletic Trainer)
4401 PARK SPRINGS BLVD STE 130
ARLINGTON, TX 76017
Tarrant County (504) 906-6454
DR. KENERA COLLEY DO
Family Medicine (Sports Medicine)
4401 PARK SPRINGS BLVD STE 130
ARLINGTON, TX 76017
Tarrant County (817) 960-9120
SARAH LYNN KENNEDY DO
Family Medicine (Sports Medicine)
4401 PARK SPRINGS BLVD STE 130
ARLINGTON, TX 76017
Tarrant County (817) 960-9120
AHMAD SCOTT PA
Physician Assistant (Surgical)
4401 PARK SPRINGS BLVD STE 130
ARLINGTON, TX 76017
Tarrant County (817) 960-9120
TROI NOELLE OTT ATC, LAT
Specialist/Technologist (Athletic Trainer)
4401 PARK SPRINGS BLVD STE 130
ARLINGTON, TX 76017
Tarrant County (817) 960-9120
LINDSEY NICOLE DIETRICH MD
Orthopaedic Surgery (Sports Medicine)
4401 PARK SPRINGS BLVD STE 130
ARLINGTON, TX 76017
Tarrant County (817) 960-9120
KEVIN GIANG PA-C
Physician Assistant (Surgical)
4401 PARK SPRINGS BLVD STE 130
ARLINGTON, TX 76017
Tarrant County (817) 960-9120

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 Marlynn Hickson's NPI number?

The NPI number for Marlynn Hickson is 1740149335. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Marlynn Hickson located?

Marlynn Hickson practices at 4401 Park Springs Blvd Ste 130, Arlington, TX 76017. The listed phone number is (817) 960-9120.

What is Marlynn Hickson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Marlynn Hickson enrolled in Medicare?

Yes. Marlynn Hickson is registered in the Medicare PECOS enrollment system.

What insurance does Marlynn Hickson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Marlynn Hickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marlynn Hickson was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.