All new patient consults are conducted VIRTUALLY. Patients will receive an email with the link to join the call and the link for payment. Out-of-pocket costs for Botox treatment are $1100. Shanna Rittberg, MSN, ANP-BC, is a board-certified Adult Nurse Practitioner with over 20 years of experience in neurology and neuro-oncology. She specializes in the evaluation and treatment of chronic migraine, with a focus on helping patients access OnabotulinumtoxinA (Botox) for migraine prevention — including those who have been denied coverage or told they don't qualify. Shanna administers Botox using the FDA-approved PREEMPT protocol, targeting pericranial and cervical muscle groups to reduce migraine frequency and severity. She has extensive experience working with patients who have complex clinical pictures, including fibromyalgia, Long COVID, TMJ disorder, and cervicogenic headache patterns that contribute to chronic daily headache burden. She works with major insurance plans and has successfully navigated prior authorization approvals for patients across multiple payers. If you have tried and failed oral preventive medications, had a prior authorization denied, or simply cannot find relief — Shanna provides a thorough evaluation, handles the paperwork, and fights to get you covered.

Patient reviews

All reviews have been submitted by patients after interacting with the practice.

Overall rating

5.00

Wait time

5.00

Bedside manner

5.00

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5 reviews

Most relevant

Shanna was great and I highly recommend anyone looking to get botox to schedule an appointment with her.

SMVerified patient

I've been going to Shanna for Botox around my crow's feet and the results are always natural and exactly what I want. She's incredibly skilled — never a single bruise — and I always leave happy with how it turned out. Highly recommend her if you're looking for someone who really knows what they're doing.

VKVerified patient

Shanna is the consummate professional. She elicited my personal goals, made me feel comfortable and safe, and I would 100% come back to see her again and again. I felt like a million bucks after my injections. Trustworthy and compassionate. Thank you, Shanna!

KMVerified patient

Shanna is absolutely the best and a lifesaver. I was really struggling with migraines, constant pain, and TMJ and have seen a world of a difference after working with her. She’s also incredibly patient and personable!! Highly recommended

JFVerified patient

KMVerified patient