Chavalia Joan Breece, ANPBC MSN
Provider is directly employed by MedStar Health
Provider is directly employed by MedStar HealthSpecialties: Hematology and Oncology, Addiction Counseling, Psychiatry, Counseling
Languages: English
About me
Joan Breece, RN, is a nurse practitioner who is board-certified in adult geriatrics and acute care at MedStar Georgetown Cancer Institute at MedStar Georgetown University Hospital. She specializes in tobacco cessation counseling and lung cancer screenings. She also is a member of the Association for the Treatment of Tobacco Use and Dependence.
Joan’s approach to care centers on providing compassionate and comprehensive services. She begins by engaging in thoughtful conversations with patients to fully understand their conditions and empathetically address their concerns. For those who need lung cancer screenings, she thoroughly conducts physical examinations and clearly explains test results. For others who are in the Smoking Treatment and Recovery (STAR) Program, she offers evidence-based educational tools and medication management assistance to maximize treatment effectiveness and minimize side effects. In collaboration with experienced interventional pulmonologists, she supports patients during every step towards healthier and nicotine-free lives.
Joan is dedicated to raising awareness about the evolving criteria for lung cancer screenings among current and former smokers. One such screening is the low-dose CT scan – a safe, painless, and brief 10-minute procedure that captures detailed images of the lungs to detect nodules or abnormal growths. She also is passionate about new strategies to address the use of smokeless tobacco or vape pens. In addition to containing nicotine, these products are addictive and linked to cancer. Referring physicians should know that she is dedicated to keeping them well informed about their patients’ progress while delivering prompt and coordinated care.
Philosophy of Care
“It’s not always easy to get and stay healthy. When linked with tobacco-smoking habits, it can be even harder. That’s why I applaud patients – without judgement – throughout their journeys toward freedom from nicotine. And at every turn, I’m ready to help them identify actionable solutions to physical, social, and emotional barriers.”
Conditions and procedures
Procedures I perform
- Clinical Decision Support
- Disease Prevention
- Telehealth
Insurance
MedStar Health accepts most major health insurance plans. If you are uncertain as to whether your individual health insurance plan is accepted at MedStar Health, please call your insurance company.
-
List of insurance plans we accept
- Sentara Health
- CIGNA Connect EPO
- HumanaChoice PPO
- Aetna Medicare Advantage PFFS Plan
- Kaiser Permanente Signature
- Coventry Health Care National Network PPO
- Optimum Choice Preferred (POS)
- TriWest Healthcare Alliance
- NYC Medicare Advantage Plus
- CareFirst NASCO
- Coventry Health Care of Virginia
- AmeriHealth Caritas DC Healthy Families
- Jai Medical Systems - Maryland Health Choice
- Optimum Choice
- Select HMO/HealthFund/Health Network
- Humana Gold Plus HMO
- Aetna Elect Choice/ Open Access (POS)
- Aetna HMO-Open Access/Select OA/HealthFund/Health Network Option OA
- CIGNA HMO & Network (HMO)
- CareFirst Maryland Indemnity or PPO
- Aetna Worker's Compensation Network
- Aetna Quality Point of Service (POS)
- IH-POS
- CareFirst Group Medicare Advantage prescription drug benefit (PPO)
- Kaiser Permanente Select Cardiac Global
- IH-Indemnity
- Anthem BCBS of VA HealthKeepers (HMO)
- Cigna Achieve Medicare (HMO C-SNP)
- Medicare Direct
- Amerigroup DC Healthy Families
- United Healthcare Choice Plus
- United Healthcare Options (PPO)
- United Student Resources
- Fee-for-Service (FFS) District of Columbia, Maryland and Virginia Medicaid
- Aetna HMO
- CIGNA HMO Open Access
- Aetna Advantage 5750
- Anthem BCBS Medi Blue Plus
- United Healthcare Select Plus (POS)
- M.D. IPA Preferred (POS)
- CIGNA POS/Network POS
- Aetna Classic 3500
- Aetna Classic 5000
- OCI Direct (HMO)
- Optimum Choice & Optimum Choice Preferred (POS) Cardiac Global
- Magellan Complete Care of VA - VA Medicaid MCO
- Geisinger Medicare Advantage
- United Healthcare Navigate Cardiac Global
- CareFirst Community Health Plan of MD
- CareFirst MedStar Select PPO
- United Healthcare Choice
- Kaiser Permanente Medicare Advantage Signature and Select
- Aetna Basic
- Cigna TotalCare (HMO D-SNP)
- United Healthcare Choice Cardiac Global
- CareFirst Dual Prime HMO-SNP
- CIGNA PPO Plus
- Choice Fund PPO
- IH-POS Plus
- Aetna Student Health Insurance
- Johns Hopkins Advantage MD PPO
- Kaiser Permanente Flexible Choice 3-tier POS
- United Medicare Private Fee-for-Service (PFFS) plans
- CareFirst Group Medicare Advantage
- CIGNA SureFit (HMO)
- United Healthcare Select HMO - EPO/NPP
- MedStar Family Choice DC Healthy Families
- Maryland Physicians Care MCO
- IH-Network Only Plus
- Anthem Federal Employee Program Standard
- Health Services for Children with Special Needs
- HighMark
- United Healthcare Choice Plus Cardiac Global
- Kaiser Permaenete Signature - Added Choice Cardiac Global
- IH-Open HMO
- First Health PPO
- United Healthcare Community Plan - VA Medicaid MCO
- Aetna Traditional Choice (PPO)
- Beech Street PPO
- OA Plus
- HumanaChoice Honor's plan PPO
- Lasso Healthcare - Medicare Medical Savings Account
- Aetna Better Health of MD
- CareFirst Blue Preferred PPO
- Choice Care Network/HUMANA (PPO)
- TRICARE East Prime
- Kaiser Permanente Signature - Added Choice
- Anthem BCBS of VA HealthKeepers (POS & POS OA)
- Anthem BCBS of VA Key Care POS/PPO/Indemnity
- Cigna Preferred Medicare (HMO)
- TRICARE for Life East
- M.D. IPA (HMO)
- Anthem Federal Employee Program Basic
- CareFirst Blue Card Program
- Aetna Signature Administrator PPO/TPA
- Private Health Care Systems (PPO)
- Mamsi Life & Health (Indem./PPO)
- Coventry of Delaware HMO/PPO
- TRICARE East Select
- UnitedHealthcare Medicare Adv. Special Needs Plans
- United Healthcare Select HMO-EPO/NPP Cardiac Global
- Johns Hopkins Advantage MD PLUS PPO
- BCBS of Michigan (BCN Advantage,Security Blue, Freedom, Medicare PLUS Blue Group PPO)
- Network OA
- Employee Health Plan
- Mamsi Life & Health (Indem./PPO) Cardiac Global
- IH-Open EPO Plus
- IH-Open POS II
- Advantra Platinum (PPO)
- MedStar Family Choice DC Healthcare Alliance
- CareFirst BlueChoice HMO
- WellPoint Maryland - Maryland Health Choice
- Cigna Alliance Medicare (HMO)
- Blue Choice Advantage
- CIGNA EPO
- First Health PPO
- IH-Open POS Plus
- Kaiser Permanente Medicare Plus
- UnitedHealthcare Individual Exchange Plans
- Aetna Managed Choice (POS)
- CareFirst FEP Blue Focus
- BCBS Out-of-State Medicare Plans (Blue Advantage)
- IH-Open Network Only Plus
- AmeriHealth Caritas DC Healthcare Alliance
- Optima Family Care MCO - VA Medicaid MCO
- DC/MD SHOP QHP Small Business Plans
- Kaiser Permanente Flexible Choice POS Cardiac Global
- Aetna VA Exchange
- Aetna Elect Choice/ EPO (Aetna Health Fund)
- Healthy Blue (HMO, POS)
- Aetna Advantage 6350PD
- Amerigroup DC Alliance
- CareFirst Blue Choice Opt Out Plus Open Access (POS)
- BlueChoice Open Access
- Uniformed Services Family Health Plan
- Choice POS
- Kaiser Permanente HMO Plus and DHMO Plus Member
- United HealthCare Community Plan - Maryland Health Choice Program
- MultiPlan, Inc
- Aetna Classic 5000PD
- CareFirst MedStar PPO
- Cigna True Choice Medicare (PPO)
- POS OA
- CareFirst (NCA) Indemnity
- Kaiser Permanente Select
- IH-HMO
- Medicare Advantage - Advantra Value (PPO)
- UHC Passport
- Alterwood Advanatge HMO & DSNP Plans
- CareFirst Maryland Point of Service Plan
- Aetna Better Health of VA
- CareFirst BlueCross BlueShield Advantage Core/Enhanced
- Navigate
- CareFirst Blue Choice Opt Out Open Access
- IH-PPO
- Anthem BCBS of VA HealthKeepers Plus
- Aetna Advantage 6350
- CIGNA PPO
- Aetna Premier 200PD
- Aetna Medicare Advantage HMO & PPO Plans
- Anthem BCBS Medi Blue Dual Adv
- Medicare FFS
- IH-Open HMO Option
- Humana Medicare Advantage - PPO
- Kaiser Maryland Medicaid MCO
- Police and Fire Clinic
- CareFirst EPO
- Private Fee-for-Service Plans (PFFS)
- MedStar Family Choice - Maryland Health Choice
- Core Essential (HMO)
- IH-EPO Plus
- Choice POS II Open Access
- Veterans Affairs Community Care Network
- Aetna Managed Choice Open Access (POS)
- Aetna Open Choice (PPO)
- AMERIVANTAGE/Amerigroup Community Care
- UHC Group Medicare Advantage Plans (HMO, POS, PPO)
- Humana Medicare Advantage - HMO Open Access
- Kaiser Permanente Select - Added Choice
- UnitedHealthcare and AARP Medicare Complete Plans
- Options PPO Cardiac Global
- MD IPA (HMO) & MD IPA Preferred Cardiac Global
- UnitedHealthcare Medicare Advantage DSNP District of Columbia
- HUMANA/Choice Care Medicare Plans (Choice, Gold Choice)
- Great-West Healthcare POS/CIGNA
- Priority Partners - Maryland Health Choice
- Erickson Advantage Plans
- CareFirst Federal Employee Program (Std. & Basic PPO)
- CareFirst Administrators
- Cigna True Choice Plus Medicare (PPO)
- HealthyBlue PPO
- Choice POS II
- Tricare Reserve Select
- Anthem BCBS Medi Blue SNP
- Johns Hopkins Advantage MD HMO
- CIGNA Indemnity
Education
Board Certification: American Nurses Credentialing Center, American Academy of Nurse Practitioners
Graduate: George Mason University (1999)
Awards
- 2013 Nursing Excellence Award in Shared Decision Making-MedStar Washington Hospital Center
Hospital affiliations
News and publications
- The NP Role in the Smoking Treatment and Recovery (STAR) Clinic, GUMC Update, 2021
- Lung Cancer Screening Patients’ Perceptions of Their Abnormal Results: A Qualitative Study, presented at MedStar Health’s Annual Research Symposium, 2019
- Achieving Healthy Cancer Survivorship Through Integrated Tobacco Control: The Smoking Treatment and Recovery (STAR) Program, presented at the Society for Research on Nicotine and Tobacco, 2020
- Achieving Healthy Cancer Survivorship Through Integrated Tobacco Control: Development of the Oncology Smoking Treatment and Recovery (STAR) Clinical Program at MedStar Georgetown University Hospital and MedStar Washington Hospital Center, presented at MedStar Health’s Annual Research Symposium, 2018-2021
Philips JG, Cordon M, Lobo T, Friberg J, Breece CJ, Beplat M, Kim C, Veytsman I, Russell E, Cusaac L, Ahmed W, Ponder MC, Schilstra P, King L, Goswami D, Wheeley J, Taylor, KL. (2021). Achieving healthy cancer survivorship through integrated tobacco control: development of the oncology Smoking Treatment and Recovery (STAR) Clinical Program at MGUH and MWHC (2018-2021). Presented at the MedStar Annual Research Symposium, Washington DC.
Taylor KL, Fallon S, Subramaniam D, Davis KM, To C, Lobo T, Philips, J, Tercyak K, Friberg J, Tynan M, Russell E, Ahmed W, Ponder MC, Cusaac L, Thompson J, Gardner K, Breece J, Kim C, Weiner LM. (2020). Achieving healthy cancer survivorship through integrated tobacco control: The Smoking Treatment and Recovery (STAR) program. Presented at the 2020 annual meeting of the Society for Research on Nicotine and Tobacco, New Orleans LA.
Fallon S, Stephens J, Kim E, Eyestone E, Breece CJ, Anderson E, Taylor KL, and the LSTH Trial Team (2019). Lung cancer screening patients’ perceptions of their abnormal results: A qualitative study. Presented at the MedStar Annual Research Symposium, Washington DC.
2020-present Ongoing presentations to faculty, residents, and students in the Departments of
Medicine, Family Medicine, Obstetrics and Gynecology on Lung Cancer Screening and
Smoking Cessation. Presentations given by Joan Breece, NP, Drs. Eric Anderson, Randi Williams, and Kathryn Taylor.