Doctor profile · Federal record
Dr. Maryellen Dyer-Russell, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Pediatric Nurse Practitioner · Oxnard, CA
- NPI 1174652002
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1911 Williams Dr
Oxnard, CA 930362612
(805) 981-6830
fax (805) 289-3395 - Mailing address
-
800 S Victoria Ave, L4615, Vchca - Physician Services
Ventura, CA 930090003
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- July 2, 2021
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (2)
- California #9664 · California #B333567-9664
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174652002. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$125
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Supernus Pharmaceuticals, INC. | 1 | $124.98 |
By nature of payment
Frequently asked questions
What is Dr. Maryellen Dyer-Russell's medical specialty?
Dr. Maryellen Dyer-Russell practices Psychiatric/Mental Health Nurse Practitioner in Oxnard, CA.
Where does Dr. Maryellen Dyer-Russell practice?
Dr. Maryellen Dyer-Russell practices at 1911 Williams Dr, Oxnard, CA 930362612. Office phone: 8059816830.
What is Dr. Maryellen Dyer-Russell's NPI?
Dr. Maryellen Dyer-Russell's National Provider Identifier (NPI) is 1174652002, issued by NPPES.