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

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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
    • Kaiser Permanente Medicare Advantage Signature and Select (aka Senior Advantage)
    • Blue Choice Advantage & Healthy Blue (HMO, POS)
    • UnitedHealthcare and AARP Medicare Complete Plans/ UHC Group Medicare Advantage Plans HMO, POS, PPO
    • United Healthcare Options (PPO) (includes Empire PPO, GEHA, Compass Rose)
    • UnitedHealthcare Medicare Adv/Special Needs Plans
    • UHC Community Plan of MD
    • Private Health Care Systems (PHCS) (PPO)
    • Medicare Fee for Service
    • Kaiser Virginia Premier
    • Kaiser PermanenteSelect-Added Choice
    • Kaiser Permanente Signature-Added Choice
    • Kaiser Permanente Signature
    • Kaiser Permanente Select
    • Kaiser Permanente Medicare Plus (Medicare Supplemental Plan)
    • Kaiser Permanente Flexible Choice POS
    • Kaiser MD Medicaid MCO
    • CFBCBS Federal Employee Program (Std/Basic PPO/Blue Focus)
    • Aetna Innovations: HMO & EPO Plus
    • Select HMO/HealthFund/Health Network
    • Aetna HMO
    • Open POS II
    • Innovation Health: Open POS Plus
    • Choice POS & Choice POS II
    • Aetna Managed Choice Open Access (POS)
    • Open EPO Plus
    • Opoen HMO Option
    • Open HMO
    • Innovation Health: POS
    • Aetna HMO-Open Access/Select OA/HealthFund/Health Network Option OA
    • Innovation Health: Open Network Only Plus
    • Aetna Elect Choice/ Open Access (POS)
    • Innovation Health: POS Plus
    • Aetna Managed Choice (POS)
    • Innovation Health: PPO
    • Aetna Open Choice (PPO)
    • Innovation Health: Indemnity
    • Aetna Traditional Choice (PPO)
    • BlueChoice Open Access
    • CFBCBS Blue Choice Opt Out Open Access
    • HealthyBlue PPO
    • CFBSBC Blue Preferred PPO
    • Choice Fund PPO
    • PPO and PPO Plus
    • POS OA & OA Plus
    • Network OA
    • CIGNA HMO Open Access (OA)
    • United Healthcare Choice
    • United Healthcare Select HMO - EPO/NPP
    • Coventry Health Care National Network PPO
    • Optimum Choice Preferred (POS) & OCI Direct (HMO)
    • MedStar Select (MedStar Associates' Plan)
    • Aetna Quality Point of Service (POS)
    • Aetna Worker's Compensation Network
    • United Healthcare Select Plus (POS)
    • United Student Resources
    • First Health PPO
    • MedStar Family Choice - Maryland Health Choice
    • M.D. IPA Preferred (POS)
    • Mamsi Life & Health (Indem./PPO)
    • Coventry of Delaware HMO/PPO
    • Aetna Elect Choice/ EPO (Aetna Health Fund) Innovation Health: Network Only Plus
    • Great-West Healthcare POS/CIGNA
    • United Healthcare Choice Plus
    • Aetna Student Health Insurance
    • CFBCBS Maryland Point of Service Plan (MPOS)
    • CIGNA Indemnity
    • CFBCBS (NCA) Indemnity
    • M.D. IPA (HMO)
    • CFBCBS Blue Choice Opt Out Plus Open Access (POS)
    • CFBCBS Maryland Indemnity or PPO
    • Tricare Prime
    • CFBCBS BlueChoice HMO
    • Tricare for Life (Medicare Supplemental Plan)
    • Coventry Health Care of Virginia
    • CIGNA POS/Network POS
    • Aetna Medicare Advantage HMO & PPO Plans
    • CIGNA HMO & Network (HMO)


Board Certification: American Nurses Credentialing Center (ANCC), Nurse Executive

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.