Organization Active NPI

Trustt Medical PLLC

  • Family Medicine Physician
  • Bentonville, AR
National Provider Identifier
1366149791
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRUSTT MEDICAL PLLC
Practice address
903 SE 28TH St Ste 3
Bentonville, AR 72712-3883
Phone
(479) 366-3574
Fax
(479) 307-8560
NPI assigned
Feb 15, 2023
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Randall Musick, DONPI 1386672392
Title
Chief Medical Officer
Phone
(479) 685-8470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

903 SE 28TH St Ste 3
Bentonville, AR 72712-3883

Mailing address

10105 Haxton Rd
Bentonville, AR 72713-6678
Phone (479) 366-3574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907003032 AR Part B Supplier - Clinic/Group Practice 5294195681 Receives reassigned benefits from 1 practitioner
Practice locations: Bentonville, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2321048Trustt Medical PLLC903 SE 28TH St Suite 3, Bentonville, AR 72712Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

240 S Main St
Bentonville, AR 72712
Phone (479) 966-9603

903 SE 28th St
Ste 3
Bentonville, AR 72712
Phone (479) 366-3574

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1366149791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 HAXTON RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727136678",
            "telephone_number": "479-366-3574",
            "fax_number": "479-307-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SE 28TH ST STE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123883",
            "telephone_number": "479-366-3574",
            "fax_number": "479-307-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTT MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MUSICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "479-685-8470",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.