DR. MARYELLEN DYER-RUSSELL DNP, PMHNP-BC
NPI 1174652002
Nurse Practitioner - Psychiatric/Mental Health in Oxnard, CA

Q: What is Maryellen Dyer-russell's NPI number?

The NPI number for Maryellen Dyer-russell is 1174652002. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Maryellen Dyer-russell's specialty?

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

Active since March 05, 2007PECOS Enrolled

1911 WILLIAMS DR, OXNARD, CA 93036(805) 981-6830(805) 289-3395 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2021, May 14, 2020 (2 updates tracked since 2020).

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About Dr. Maryellen Dyer-russell Dnp, Pmhnp-bc NPPES

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

DR. MARYELLEN DYER-RUSSELL DNP, PMHNP-BC (NPI 1174652002) is an individual psychiatric/mental health provider in Oxnard, California, licensed in California (9664) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174652002

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. MARYELLEN DYER-RUSSELLCredential: DNP, PMHNP-BC

Location Address1911 WILLIAMS DROxnard, CA 93036-2612

Mailing Address800 S Victoria Ave, L4615, Vchca - Physician ServicesVentura, CA 93009-0003 · (805) 677-5181 · Fax (805) 677-5304

Phone(805) 981-6830

Fax(805) 289-3395

Sole ProprietorNo

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration

NPPES CertifiedJune 18, 2021

✔ NPI 1174652002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 9664

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License B333567-9664 (CA)

1911 WILLIAMS DR, Oxnard, CA 93036

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maryellen Dyer-russell Dnp, Pmhnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93036 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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 20

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

BRANDEE ELIZABETH HERRERA LCSW

Social Worker (Clinical)