Chavalia Joan Breece, ANP-BC| Counseling, Addiction Counseling | MedStar Health

Chavalia Joan Breece, ANP-BC
Provider is directly employed by MedStar Health

Specialties: Counseling, Addiction 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.”

Clinical areas of focus

  • Adenocarcinoma Of Lung
  • Pulmonary Nodule
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Conditions and procedures

Conditions I treat

  • Adenocarcinoma Of Lung
  • Lung Mass
  • Pulmonary Nodule
  • Tobacco Use Disorder
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Procedures I perform

  • Lung Cancer Screening
  • Tobacco Smoking Counseling
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Practice locations

Distance from Change LocationEnter your Location

3800 Reservoir Road Northwest
Lombardi Cancer Center
Washington, DC, 20007


Fax 202-444-1229

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miles away

Fax 202-444-1229


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
    • Health Services for Children with Special Needs (HSCSN)
    • Innovation Health: Network Only Plus
    • Aetna Managed Choice Open Access (POS)
    • Kaiser Select-Added Choice
    • Innovation Health: Indemnity
    • Veterans Affairs Community Care Network (VA CCN)
    • Carefirst Blue Preferred PPO
    • Cigna True Choice Medicare (PPO)
    • United Options (PPO) (includes Empire PPO)
    • Aetna Signature Administrator PPO/TPA
    • Cigna HMO & Network (HMO)
    • United Navigate
    • Aetna Open HMO/Open HMO Option/Open EPO Plus
    • Aetna Quality Point of Service (POS)
    • Kaiser Medicare Advantage Signature and Select
    • MedStar Family Choice DC Healthcare Alliance
    • United Optimum Choice Preferred (POS) & OCI Direct (HMO)
    • Aetna Traditional Choice (PPO)
    • Cigna POS/Network POS
    • CareFirst (NCA) Indemnity
    • Aetna Select HMO/HealthFund/Health Network
    • Aetna Elect Choice/ EPO (Aetna Health Fund)
    • United Select Plus (POS)
    • Kaiser Signature
    • Tricare East Select
    • Private Health Care Systems (PHCS) (PPO)
    • Innovation Health: Open Network Only Plus
    • Carefirst BlueChoice Opt Out Open Access
    • CareFirst Group Medicare Advantage prescription drug benefit (PPO)
    • Carefirst Healthy Blue (HMO/POS)
    • CareFirst Blue Card Program (Out-of-area BCBS plans)
    • Kaiser HMO Plus and DHMO Plus Member
    • CareFirst Administrators
    • United Golden Rule
    • Cigna HMO Open Access
    • United Community Plan - Maryland Health Choice Program
    • Tricare Reserve Select
    • Cigna EPO
    • Aetna Student Health Insurance
    • United Mamsi Life & Health
    • HealthyBlue PPO
    • Innovation Health: HMO & EPO Plus
    • Cigna Choice Fund PPO
    • CareFirst Maryland Indemnity or PPO
    • United GEHA (for all other states) Compass Rose
    • UnitedHealthcare Individual Exchange Plans
    • Innovation Health: Open POS II
    • WellPoint Maryland
    • Carefirst BlueChoice Open Access
    • Medicaid - Maryland
    • HumanaChoice Honor’s plan PPO
    • United Optimum Choice
    • Cigna Achieve Medicare (HMO C-SNP)
    • Anthem HMO - BCBS of VA HealthKeepers
    • Cigna TotalCare (HMO D-SNP)
    • Cigna Preferred Medicare
    • WellPoint Maryland - Maryland Health Choice
    • Police and Fire Clinic
    • Innovation Health: PPO
    • Carefirst BlueChoice HMO
    • Medicaid - District of Columbia
    • Traditional Medicare Fee for Service
    • Cigna Alliance Medicare (HMO) |
    • CareFirst Group Medicare Advantage
    • Maryland Point of Service Plan (MPOS)
    • MedStar Family Choice DC Healthy Families
    • CareFirst BC/BS Advantage Core/Enhanced
    • Cigna POS Open Access & Open Access Plus
    • Virginia Premier
    • CareFirst MedStar PPO
    • Aetna Open Choice (PPO)
    • Aetna HMO-Open Access/Select OA
    • Choice Care Network/HUMANA (PPO)
    • United Core Essential (HMO)
    • United Erickson Advantage Plans
    • Innovation Health: POS Plus
    • United Medicare Advantage DSNP District of Columbia
    • Cigna Network Open Access
    • United AARP Medicare Complete
    • Beech Street PPO
    • United Student Resources
    • United MD IPA (HMO)
    • United Group Medicare Advantage Plans
    • Aetna Elect Choice/ Open Access (POS)
    • United Nursing Home Plan (C-SNP
    • Kaiser Permanente Signature-Added Choice
    • Aetna HMO
    • Anthem (POS & Open Access POS) BCBS of VA HealthKeepers
    • Carefirst BlueChoice Opt Out Plus Open Access (POS)
    • Innovation Health: Open POS Plus
    • HumanaChoice PPO
    • I-SNP
    • Kaiser Medicare Plus
    • Tricare for Life East
    • Kaiser Flexible Choice
    • Medicaid - Virginia
    • United Select HMO - EPO/NPP
    • Tricare East Prime
    • Kaiser Maryland Medicaid MCO
    • Cigna PPO and PPO Plus
    • Veterans Affairs Community Care Network
    • Aetna Choice POS & Choice POS II
    • Innovation Health: POS
    • CareFirst NASCO
    • Aetna Managed Choice (POS)
    • United Choice
    • Aetna HealthFund/Health Network Option OA
    • CareFirst MedStar Select PPO
    • United Choice Plus
    • Carefirst EPO
    • Federal Employee Program (Std/Basic PPO/Blue Focus)
    • Aetna Medicare Advantage HMO & PPO Plans
    • Anthem Plus BCBS of VA HealthKeepers Plus
    • Cigna True Choice Plus Medicare (PPO)
    • United MD IPA Preferred (POS)
    • D-SNP)
    • Cigna Indemnity
    • Kaiser Select
    • Coventry Health Care National Network PPO
    • First Health PPO
    • MedStar Family Choice - Maryland Health Choice
    • Coventry of Delaware HMO/PPO
    • Great-West Healthcare POS/CIGNA
    • Coventry Health Care of Virginia


Other Certification: American Nurses Credentialing Center, -

Graduate Education: George Mason University (1999)


  • 2013 Nursing Excellence Award in Shared Decision Making-MedStar Washington Hospital Center

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.