1. Home
  2. Directory
  3. California
  4. Fillmore
  5. Social Worker
  6. NPI Profile

MRS. KRISTEN RENE BUSTILLOS FRAGOSO MSW
NPI 1013447457
Social Worker - Clinical in Fillmore, CA

Active since June 18, 2017PECOS Enrolled
425 EDGEWOOD DR, FILLMORE, CA 93015(818) 356-5942 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2023, Dec 14, 2020, Nov 27, 2020 and 2 more (5 updates tracked since 2017).

About Mrs. Kristen Rene Bustillos Fragoso Msw NPPES

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

MRS. KRISTEN RENE BUSTILLOS FRAGOSO MSW (NPI 1013447457) is an individual clinical provider in Fillmore, California, licensed in California (100098) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013447457
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KRISTEN RENE BUSTILLOS FRAGOSOCredential: MSW
Location Address425 EDGEWOOD DRFillmore, CA 93015-1846
Mailing Address425 Edgewood DrFillmore, CA 93015-1846 · (818) 356-5942
Phone(818) 356-5942
Sole ProprietorNo
Enumeration DateJune 18, 2017
Last NPPES UpdateMay 22, 20235 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1013447457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 100098
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ACSW78038 (CA)
425 EDGEWOOD DR, Fillmore, CA 93015
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristen Rene Bustillos Fragoso Msw 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.

Medicare Billing Reassignment

Medicare enrollment records show Kristen Rene Fragoso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
269 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93015 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
$0.00 typical visit price
range $62.32 – $185.36
Typical copayment $0.00 (range $15.58 – $46.34)
Most-billed visit code NA
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kristen Rene Fragoso's NPI number?

The NPI number for Kristen Rene Fragoso is 1013447457. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Kristen Rene Fragoso located?

Kristen Rene Fragoso practices at 425 Edgewood Dr, Fillmore, CA 93015. The listed phone number is (818) 356-5942.

What is Kristen Rene Fragoso's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristen Rene Fragoso enrolled in Medicare?

Yes. Kristen Rene Fragoso is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristen Rene Fragoso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Rene Fragoso reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The 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 Kristen Rene Fragoso'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 Kristen Rene Fragoso was last updated on May 22, 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.